COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
NPI 1841644184
Clinic/Center - Rural Health in Hastings, MI
NPI Status: Active since April 22, 2016
Contact Information
1005 W GREEN ST
SUITE 301
HASTINGS, MI
ZIP 49058
Phone: (269) 945-8080
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 23D1092888
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 12-04-2026
About COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
This page provides the complete NPI Profile along with additional information for Corewell Health Pennock Hospital Multispecialty Center - Green St, a primary care provider established in Hastings, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1841644184 assigned on April 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Corewell Health Pennock Hospital Multispecialty Center - Green St. The authorized official of this NPI record is John Sella (Controller)
- NPI
- 1841644184
- Provider Legal Name
- PENNOCK HOSPITAL
- Other Organization Name
- COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1005 W GREEN ST SUITE 301 HASTINGS, MI 49058
- Location Phone
- (269) 945-8080
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-22-2016
- Last Update Date
- 08-23-2023
- Code Navigator
A primary care provider (PCP) like Corewell Health Pennock Hospital Multispecialty Center - Green St sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1092888
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- December 05, 2024
- Certificate Expiration Date
- December 04, 2026
- Laboratory Director
- JIMMIE D. WOODALL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Corewell Health Pennock Hospital Multispecialty Center - Green St in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for COREWELL HEALTH PENNOCK HOSPITAL MULTISPECIALTY CENTER - GREEN ST
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 6 | 4 | 4 | 1 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 12 | 4 | 8 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 2 + 4 + 8 + 1 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1841644184 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730177783 | DR. JAMES L WEATHERHEAD MD Individual | Family Medicine | 1005 W GREEN ST SUITE G100 HASTINGS, MI 49058 (269) 948-7820 |
| 1063435659 | DR. STACY A UEBELE D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 1005 W GREEN ST 304 HASTINGS, MI 49058 (269) 948-9155 |
| 1538234547 | SCOTT BRASSEUR MD PLC Organization | Internal Medicine | 1005 W GREEN ST SUITE 301 HASTINGS, MI 49058 (269) 945-2419 |
| 1104991207 | INTERNAL MEDICINE ASSOCIATES Organization | Specialist | 1005 W GREEN ST SUITE 301 HASTINGS, MI 49058 (269) 945-2419 |
| 1245376102 | GRANDVIEW FOOT AND ANKLE PC Organization | Podiatrist | 1005 W GREEN ST SUITE NUMBER 304 HASTINGS, MI 49058 (269) 948-9155 |
| 1386783728 | LIESL MARIE ZYLSTRA CNP Individual | Nurse Practitioner (Family) | 1005 W GREEN ST HASTINGS, MI 49058 (269) 948-8057 |
| 1306966700 | HASTINGS GYNECOLOGY & OBSTETRICS, P.C. Organization | Obstetrics & Gynecology | 1005 W GREEN ST SUITE 201 HASTINGS, MI 49058 (269) 945-2162 |
| 1528268513 | THORNAPPLE VALLEY FAMILY PHYSICIANS PC Organization | Family Medicine | 1005 W GREEN ST HASTINGS, MI 49058 (269) 948-8057 |
| 1184894644 | JAMES L WEATHERHEAD MD LLC Organization | Family Medicine | 1005 W GREEN ST SUITE G100 HASTINGS, MI 49058 (269) 948-7820 |
| 1770750069 | MICHIGAN MEDICAL PATIENT CARE Organization | Internal Medicine (Sleep Medicine) | 1005 W GREEN ST HASTINGS, MI 49058 (616) 391-3759 |
| 1437594991 | WEST MICHIGAN HEART Organization | Internal Medicine (Cardiovascular Disease) | 1005 W GREEN ST HASTINGS, MI 49058 (616) 885-5000 |
| 1952340192 | DR. PAUL THEODORE DEWITT JR. MD Individual | Family Medicine | 1005 W GREEN ST SUITE 100 HASTINGS, MI 49058 (269) 948-2173 |
| 1821497223 | MRS. DIANE HART CDE Individual | Registered Nurse (Diabetes Educator) | 1005 W GREEN ST HASTINGS, MI 49058 (269) 945-0922 |
| 1215997796 | DR. DIANE B EBAUGH M.D. Individual | Family Medicine | 1005 W GREEN ST SUITE 304 HASTINGS, MI 49058 (269) 948-8057 |
| 1124488812 | PENNOCK HOSPITAL BOARD OF TRUSTEES Organization | Surgery | 1005 W GREEN ST HASTINGS, MI 49058 (269) 948-3632 |
| 1023340981 | PENNOCK HOSPITAL Organization | Obstetrics & Gynecology | 1005 W GREEN ST HASTINGS, MI 49058 (269) 945-8080 |
| 1215221353 | PENNOCK HOSPITAL Organization | Surgery | 1005 W GREEN ST HASTINGS, MI 49058 (269) 948-8411 |
| 1144224700 | DR. STEVEN GEORGE WILDERN M.D. Individual | Specialist | 1005 W GREEN ST RM 301 HASTINGS, MI 49058 (269) 945-2419 |
| 1639243157 | PENNOCK PHARMACY, INC. Organization | Pharmacy (Community/Retail Pharmacy) | 1005 W GREEN ST HASTINGS, MI 49058 (269) 948-3136 |
| 1831198795 | DR. THOMAS MARVIN HOFFMAN M.D. Individual | Family Medicine | 1005 W GREEN ST SUITE 303 HASTINGS, MI 49058 (269) 945-3401 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841644184, enumerated in the NPI registry as an "organization" on April 22, 2016
The provider is located at 1005 W Green St Suite 301 Hastings, Mi 49058 and the phone number is (269) 945-8080
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D1092888 for a "rural health clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 22, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.