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 |