Pennock Hospital Board of Trustees
NPI 1104291202ActiveOrganization· Family Medicine· Ionia, MI
Family Medicine in Ionia, Michigan, registered in NPPES in December 2015, part of Pennock Hospital Board of Trustees. The authorized official on file is Connie Downs, Vp Finance.
Overview
| NPI | 1104291202 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pennock Hospital Board of Trustees |
| NPI issued | Dec 1, 2015 |
| Last updated in NPPES | Jan 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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