Organization · Type 2 NPI

Intercare Community Health Network

Federally Qualified Health Center (FQHC) · Sparta, MI

NPI number 1306064720 Active

Practice location

540 South State Street
Sparta, MI 49345

Mailing address

50 Industrial Park Drive
Bangor, MI 49013

Specialties and licenses

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

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

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About NPI 1306064720

Intercare Community Health Network's National Provider Identifier is 1306064720, issued on Apr 23, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sparta, MI. The record was last updated on Aug 22, 2020.