INTERCARE COMMUNITY HEALTH NETWORK NPI 1902235328

NPI Information

  • NPI: 1902235328
  • Provider Name: INTERCARE COMMUNITY HEALTH NETWORK
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: INTERCARE RIVERWOOD CENTER
  • Address: 1485 M 139
    BENTON HARBOR, MI
    ZIP 49022
  • Phone: (269) 926-2595

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NPI Details

INTERCARE COMMUNITY HEALTH NETWORK is a federally qualified health center (fqhc) clinic center in Benton Harbor, MI. INTERCARE COMMUNITY HEALTH NETWORK NPI is 1902235328. The provider is registered as an organization entity type.
The provider Is Doing Business As Intercare Riverwood Center.

The provider's business location address is:

1485 M 139
BENTON HARBOR, MI
ZIP 49022-711
Phone: (269) 926-2595
Fax: (269) 757-7630

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 11/6/2013 and was last updated on 4/24/2014.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)MICHIGANYes

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
10H06000MEDICARE PIN

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: 3/30/2025

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