Intercare Community Heath Network Medical Van

NPI 1114335767 - Clinic/Center - 261QF0400X

NPI Details
NPI 1114335767
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 DRIVE
BANGOR MI, 49013-1246, US
Phone (269) 427-7937
Fax (269) 427-5180
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
Remove 1114335767 NPI Number
 

According to our database, Intercare Community Heath Network Medical Van NPI is 1114335767, taxonomy code is 261QF0400X Intercare Community Heath Network Medical Van physically located at 308 Charles Street, Bangor MI, 49013-1246. NPI Number 1033115704 has the healthcare provider type.

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1114335767 NPI number is provided on an as is basis without warranty of any kind. 1114335767 is maintained by the National Plan & Provider Enumeration System. The contents of Intercare Community Heath Network Medical Van are for informational purposes only.