INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN NPI 1114335767

NPI Information

NPI: 1114335767
Provider Name: INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
308 CHARLES STREET
BANGOR, MI
ZIP 49013
Phone: (269) 427-7937
Get Directions

INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN is a federally qualified health center (fqhc) clinic center in Bangor, MI. INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN NPI is 1114335767. The provider is registered as an organization entity type.

The provider's business location address is:

308 CHARLES STREET
BANGOR, MI
ZIP 49013-246
Phone: (269) 427-7937
Fax: (269) 427-5180

The provider's authorized official is Velma Hendershott .
The authorized official title is Ceo/president and has the following contact phone number (269) 427-7937.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »