Intercare Community Health Network

NPI #1902235328 in Benton Harbor, Michigan

Provider Information

NPI Number
1902235328
Entity Type
Organization
Organization Name
Intercare Community Health Network
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 6, 2013
Last Updated
Apr 24, 2014

Practice Location

Address
1485 M 139
ZIP Code
49022-5711
Phone
(269) 926-2595

Authorized Official

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

Specialties & Taxonomy Codes

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

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