Intercare Community Health Network

NPI #1558506253 in Benton Harbor, Michigan

Provider Information

NPI Number
1558506253
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 9, 2008
Last Updated
Mar 25, 2009

Practice Location

Address
870 COLFAX AVE
ZIP Code
49022-7409
Phone
(269) 605-1060

Authorized Official

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

Specialties & Taxonomy Codes

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

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