NPI | 1396190138 |
---|---|
Doing Business As | COREWELL HEALTH PENNOCK HOSPITAL FAMILY MEDICINE - STATE ST |
Doing Business As | SPECTRUM HEALTH PENNOCK FAMILY, INTERNAL & PEDIATRIC MEDICINE - HASTIN |
Entity Type | Organization |
Authorized Contact | JOHN SELLA Controller 616-802-0206 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2016-04-29 |
Last Update Date | 2023-08-23 |