Organization
INTERCARE COMMUNITY HEALTH NETWORK
Active
Other names
InterCare Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VELMA HENDERRSHOTT (CEO)
(269) 427-7937
Entity
Organization
Contact information
Practice address
796 HIGHWAY M-139, BENTON HARBOR, MI 49022-3881
(855) 869-6900
(269) 927-4208
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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