Pennock State Street Center
NPI 1932490885 · Medical Physician Assistant · Hastings, MI
Pennock State Street Center is a Medical Physician Assistant organization in Hastings, MI (NPI 1932490885).
Provider details
- NPI number
- 1932490885
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amy Poholski, Director(616) 975-1845
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2019-04-02
Frequently asked questions
- What is Pennock State Street Center's NPI number?
- Pennock State Street Center's National Provider Identifier (NPI) is 1932490885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennock State Street Center?
- Pennock State Street Center is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pennock State Street Center located?
- Pennock State Street Center's practice location on file with NPPES is 1108 W State St, Hastings, MI 49058-9711.
- What is Pennock State Street Center's phone number?
- The practice phone number listed in the NPPES registry for Pennock State Street Center is (269) 948-3360.
- Who is the authorized official for Pennock State Street Center?
- The authorized official listed on Pennock State Street Center's NPPES record is Amy Poholski, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennock State Street Center's NPI active?
- Yes — Pennock State Street Center's NPI (1932490885) is active in the NPPES registry as of the last update on 2019-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.