OrganizationActive
Pennock Hospital Board of Trustees
NPI 1053635359 · General Acute Care Hospital · Lake Odessa, MI
Pennock Hospital Board of Trustees is a General Acute Care Hospital organization in Lake Odessa, MI (NPI 1053635359).
Provider details
- NPI number
- 1053635359
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Thomas Salisbury, Finance Director(269) 945-1212
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone: (269) 945-1212
Fax: (616) 674-1698
Street-level locationGet directions
Mailing address
1009 W Green St
Hastings, MI 49058-1710
Other names (DBA / former)
- Doing business as
- Pennock Hospital Lake Odessa Sat Lab
Registry dates
- Enumerated
- 2010-03-16
- Last updated
- 2013-03-11
Frequently asked questions
- What is Pennock Hospital Board of Trustees's NPI number?
- Pennock Hospital Board of Trustees's National Provider Identifier (NPI) is 1053635359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennock Hospital Board of Trustees?
- Pennock Hospital Board of Trustees is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Pennock Hospital Board of Trustees located?
- Pennock Hospital Board of Trustees's practice location on file with NPPES is 4294 Laurel Dr, Lake Odessa, MI 48849-8430.
- What is Pennock Hospital Board of Trustees's phone number?
- The practice phone number listed in the NPPES registry for Pennock Hospital Board of Trustees is (269) 945-1212.
- Who is the authorized official for Pennock Hospital Board of Trustees?
- The authorized official listed on Pennock Hospital Board of Trustees's NPPES record is Thomas Salisbury, Finance Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennock Hospital Board of Trustees's NPI active?
- Yes — Pennock Hospital Board of Trustees's NPI (1053635359) is active in the NPPES registry as of the last update on 2013-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.