Intercare Community Health Network Dental Van

NPI 1194133744 - Clinic/Center - 261QF0400X

NPI Details
NPI 1194133744
Enumeration Date 07/28/2014
Last Updated 07/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VELMA VELMA
Position CEO/PRESIDENT
Phone (269) 427-7937
Fax (269) 427-5180
Practice Location
308 CHARLES STREET
BANGOR MI, 49013-1246, US
Phone (269) 427-7937
Fax (269) 427-5180
Business Location
50 INDUSTRIAL PARK RD
BANGOR MI, 49013-1246, US
Phone (269) 427-7937
Fax (269) 427-5180
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
Remove 1194133744 NPI Number
 

According to our database, Intercare Community Health Network Dental Van NPI is 1194133744, taxonomy code is 261QF0400X Intercare Community Health Network Dental Van physically located at 308 Charles Street, Bangor MI, 49013-1246. NPI Number 1033115704 has the healthcare provider type.

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1194133744 NPI number is provided on an as is basis without warranty of any kind. 1194133744 is maintained by the National Plan & Provider Enumeration System. The contents of Intercare Community Health Network Dental Van are for informational purposes only.