Pennock Hospital
NPI 1962889584 · Rural Health Clinic/Center · Lake Odessa, MI
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pennock Hospital is a Rural Health Clinic/Center organization in Lake Odessa, MI (NPI 1962889584).
Provider details
- NPI number
- 1962889584
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pennock Hospital
- Organization subpart
- Yes
- Authorized official
- John Sella, Controller(616) 802-0206
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Other names (DBA / former)
- Doing business as
- Corewell Health Pennock Hospital Family Medicine - Lake Odessa
- Doing business as
- Spectrum Health Pennock Family Medicine - Lake Odessa
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Pennock Hospital's NPI number?
- Pennock Hospital's National Provider Identifier (NPI) is 1962889584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennock Hospital?
- Pennock Hospital is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pennock Hospital located?
- Pennock Hospital's practice location on file with NPPES is 4294 Laurel Dr, Lake Odessa, MI 48849-8430.
- What is Pennock Hospital's phone number?
- The practice phone number listed in the NPPES registry for Pennock Hospital is (616) 374-7660.
- Does Pennock Hospital accept Medicare?
- Pennock Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pennock Hospital?
- The authorized official listed on Pennock Hospital's NPPES record is John Sella, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennock Hospital's NPI active?
- Yes — Pennock Hospital's NPI (1962889584) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.