INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN

BANGOR, MI
NPI1114335767
Entity TypeOrganization
Authorized ContactVELMA HENDERSHOTT
CEO/President
269-427-7937
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN
308 CHARLES STREET
BANGOR, MI 49013-1246
Phone number: 269-427-7937
Mailing Address
INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN
50 INDUSTRIAL PARK DRIVE
BANGOR, MI 49013-1246
Phone number: 269-427-7937