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Organization

INTERCARE COMMUNITY HEALTH NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VELMA HENDERSHOTT (PRESIDENT CEO)
(269) 427-7937
Entity
Organization

Contact information

Practice address
6270 W MAIN ST, EAU CLAIRE, MI 49111
(269) 461-6927
(269) 461-3068
Mailing address
50 INDUSTRIAL PARK DR, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/09/2006
Last updated
11/14/2011
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