Pennock State Street Center
NPI 1932490885ActiveOrganization· Physician Assistant, Medical· Hastings, MI
Physician Assistant, Medical in Hastings, Michigan, registered in NPPES in April 2011. The authorized official on file is Amy Poholski, Director.
Overview
| NPI | 1932490885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2011 |
| Last updated in NPPES | Apr 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
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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