Intercare Community Health Network

NPI #1689845141 in Benton Harbor, Michigan

Provider Information

NPI Number
1689845141
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 12, 2008
Last Updated
Mar 12, 2008

Practice Location

Address
960 AGARD AVE
ZIP Code
49022-4051
Phone
(269) 927-5162

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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