Intercare Community Health Network

NPI #1225334063 in Pullman, Michigan

Provider Information

NPI Number
1225334063
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 26, 2011
Last Updated
Jan 26, 2011

Practice Location

Address
5498 109TH AVE
ZIP Code
49450-9631
Phone
(269) 236-6330

Authorized Official

Name
VELMA HENDERSHOTT
Title
PRESIDENT/CEO
Phone
(269) 427-7937

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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