INTERCARE COMMUNITY HEALTH NETWORK NPI 1326058512

NPI Information

NPI: 1326058512
Provider Name: INTERCARE COMMUNITY HEALTH NETWORK
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
50 INDUSTRIAL PARK DR
BANGOR, MI
ZIP 49013
Phone: (269) 427-7937
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INTERCARE COMMUNITY HEALTH NETWORK is a federally qualified health center (fqhc) clinic center in Bangor, MI. INTERCARE COMMUNITY HEALTH NETWORK NPI is 1326058512. The provider is registered as an organization entity type.

The provider's business location address is:

50 INDUSTRIAL PARK DR
BANGOR, MI
ZIP 49013
Phone: (269) 427-7937
Fax: (269) 427-5180

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

The enumeration date for this NPI number is 8/9/2006 and was last updated on 3/19/2014.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0H06000	MEDICARE PIN	MICHIGAN

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

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