| Intercare Community Health Network | |
|
5498 109th Ave Pullman MI 49450-9631 | |
| (855) 869-6900 | |
| (269) 236-0505 |
| Full Name | Intercare Community Health Network |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5498 109th Ave, Pullman, Michigan |
| Authorized Official Name and Position | Velma Hendershott (CEO/PRESIDENT) |
| Authorized Official Contact | 2694277937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercare Community Health Network 50 Industrial Park Rd Bangor MI 49013-1246 Ph: (269) 427-7937 | Intercare Community Health Network 5498 109th Ave Pullman MI 49450-9631 Ph: (855) 869-6900 |
| NPI Number | 1205349990 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205349990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |