Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pennock Hospital

Rural Health Clinic/Center in Lake Odessa, MI · enumerated 2015 · authorized official John Sella, Controller.

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

National Provider Identifier

1962889584

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pennock Hospital

Other name <Unavail>

Parent organization Pennock Hospital

Practice address 4294 Laurel Dr, Lake Odessa, MI, 48849

Phone (616) 374-7660

Fax (616) 374-0270

Enumeration date May 4, 2015

Last updated in NPPES Aug 23, 2023

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name John Sella

Title Controller

Phone (616) 802-0206

Other identifiers

Identifier	Type	State	Issuer
238675	Other	MI	MEDICARE PTAN

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Pennock Hospital located?

The practice location on file with NPPES is in Lake Odessa, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-08-23. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-23.