| Intercare Community Health Network | |
|
5498 109th Ave Pullman MI 49450-9631 | |
| (269) 236-6330 | |
| (269) 236-5411 |
| Full Name | Intercare Community Health Network |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5498 109th Ave, Pullman, Michigan |
| Authorized Official Name and Position | Velma Hendershott (PRESIDENT/CEO) |
| 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: (269) 236-6330 |
| NPI Number | 1225334063 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225334063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Intercare Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5498 109th Ave, Pullman, MI 49450 Phone: 269-236-5021 Fax: 269-236-5411 |