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INTERCARE COMMUNITY HEALTH NETWORK NPI 1891113353


NPI Information

NPI: 1891113353
Provider Name: INTERCARE COMMUNITY HEALTH NETWORK
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 23D1093577

Address:
50 INDUSSTRIAL PARK ROAD
BANGOR, MI
ZIP 49013
Phone: (269) 427-7937
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INTERCARE COMMUNITY HEALTH NETWORK is an obstetrics gynecology in Bangor, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. INTERCARE COMMUNITY HEALTH NETWORK NPI is 1891113353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 INDUSSTRIAL PARK ROAD
BANGOR, MI
ZIP 49013-246
Phone: (269) 427-7937
Fax: (269) 427-5180

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 CLIA number assigned to this NPI record is 23D1093577 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 11/27/2018.


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
1207V00000XObstetrics & GynecologyYes

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

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