Specialist Group
LBN: Pennock Hospital
Specialist Group is an health care organization with primary practice located at 1009 W Green Street , Hastings MI 49058-1710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Pennock Hospital can be contacted via phone (269) 945-1212, or through Davis, Robert via phone (269) 945-1220.
Contact Information
Primary practice address
1009 W Green Street
Hastings MI 49058-1710
Phone: (269) 945-1212
Fax: (269) 948-3117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MI43051816 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MI43039857 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MI43075340 | Michigan |
Profile Details
| NPI number | 1750500435 |
|---|---|
| LBN Legal business name | Pennock Hospital |
| DBA Doing business as | Specialist Group |
| Authorized official | Davis, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | May 12th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750500435 | NPPES |
| Michigan | Other | CA9744 | MCR RR |
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