Organization · Type 2 NPI

Intercare Community Heath Network Medical Van

Federally Qualified Health Center (FQHC) · Bangor, MI

NPI number 1114335767 Active

Practice location

308 Charles Street
Bangor, MI 49013-1246

Call (269) 427-7937 Map

Fax (269) 427-5180

Mailing address

50 Industrial Park Drive
Bangor, MI 49013-1246

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

12 other providers at this address

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About NPI 1114335767

Intercare Community Heath Network Medical Van's National Provider Identifier is 1114335767, issued on Jul 28, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bangor, MI. The record was last updated on Jul 28, 2014.