Organization · Type 2 NPI

Intercare Community Health Network

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

NPI number 1902235328 Active

Practice location

1485 M 139
Benton Harbor, MI 49022-5711

Fax (269) 757-7630

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...

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About NPI 1902235328

Intercare Community Health Network's National Provider Identifier is 1902235328, issued on Nov 6, 2013. 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 Apr 24, 2014.