Organization · Type 2 NPI

Intercare Community Health Network

Federally Qualified Health Center (FQHC) · Benton Harbor, MI

NPI number 1689845141 Active

Practice location

960 Agard Ave
Benton Harbor, MI 49022-4051

Fax (269) 927-5319

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...

10 other providers at this address

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About NPI 1689845141

Intercare Community Health Network's National Provider Identifier is 1689845141, issued on Mar 12, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Benton Harbor, MI. The record was last updated on Mar 12, 2008.