Intercare Community Health Network

NPI #1457361677 in Pullman, Michigan

Provider Information

NPI Number
1457361677
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 9, 2006
Last Updated
Nov 11, 2011

Practice Location

Address
5498 109TH AVE
ZIP Code
49450
Phone
(269) 236-5021

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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