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Pennock State Street Center

Medical Physician Assistant in Hastings, MI · enumerated 2011 · authorized official Amy Poholski, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932490885

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Registry record

Entity type Organization (Type 2)
Legal business name Pennock State Street Center
Practice address 1108 W State St, Hastings, MI, 49058
Phone (269) 948-3360
Enumeration date Apr 27, 2011
Last updated in NPPES Apr 2, 2019

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Amy Poholski
Title Director
Phone (616) 975-1845

Other identifiers

Identifier Type State Issuer
0Z80041 Other MI BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pennock State Street Center?
NPPES lists Amy Poholski (Director) as the authorized official for this organization.
What is the NPI number for Pennock State Street Center?
The NPI for Pennock State Street Center is 1932490885, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-02.