Intercare Community Health Network

NPI #1861402067 in Eau Claire, Michigan

Provider Information

NPI Number
1861402067
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 14, 2011

Practice Location

Address
6270 W MAIN ST
ZIP Code
49111
Phone
(269) 461-6927

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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