Intercare Community Health Network

NPI #1265254296 in Otsego, Michigan

Provider Information

NPI Number
1265254296
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 30, 2024
Last Updated
Dec 12, 2025

Practice Location

Address
538 WASHINGTON STREET ROOM #158
City
Otsego
ZIP Code
49078
Phone
(855) 866-6900

Authorized Official

Name
ERICA MOONEYHAN
Title
CREDENTIALING & ENROLLMENT COORDINA
Phone
(269) 427-7937

Specialties & Taxonomy Codes

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

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