INTERCARE COMMUNITY HEALTH NETWORK NPI 1689845141

NPI Information

NPI: 1689845141
Provider Name: INTERCARE COMMUNITY HEALTH NETWORK
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
960 AGARD AVE
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 927-5162
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INTERCARE COMMUNITY HEALTH NETWORK is a federally qualified health center (fqhc) clinic center in Benton Harbor, MI. INTERCARE COMMUNITY HEALTH NETWORK NPI is 1689845141. The provider is registered as an organization entity type.

The provider's business location address is:

960 AGARD AVE
BENTON HARBOR, MI
ZIP 49022-051
Phone: (269) 927-5162
Fax: (269) 927-5319

The provider's authorized official is Velma Hendershott .
The authorized official title is President/ceo and has the following contact phone number (269) 427-7937.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 3/12/2008.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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