Organization
INTERCARE COMMUNITY HEALTH NETWORK
Active
Organization
INTERCARE COMMUNITY HEALTH NETWORK
Active
Other names
InterCare Riverwood Center
Organization subpart
No
Provider details
NPI number
Authorized official
VELMA HENDERSHOTT (CEO/PRESIDENT)
(269) 427-7937
Entity
Organization
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 926-2595
(269) 757-7630
Mailing address
50 INDUSTRIAL PARK DRIVE, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MI
Other
Enumeration date
11/06/2013
Last updated
04/24/2014
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