Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNOCK STATE STREET CENTER
Active OrganizationPENNOCK STATE STREET CENTER is a Medical Physician Assistant organization located in HASTINGS, Michigan. NPI 1932490885 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HASTINGS, MI
Registration Details
- NPI Number
- 1932490885
- Provider Type
- Organization
- NPI Issued
- Apr 27, 2011 (15.28927744285 yrs)
- Last Updated
- Apr 2, 2019
Practice Information
- Address
-
1108 W STATE STHASTINGS, MI, 490589711Browse MI providers · Browse ZIP 49058
- Phone
- 2699483360
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.