| Intercare Riverwood Center | |
|
1485 M 139 Benton Harbor MI 49022-5711 | |
| (269) 926-2595 | |
| (269) 757-7630 |
| Full Name | Intercare Riverwood Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1485 M 139, Benton Harbor, 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 Riverwood Center 50 Industrial Park Drive Bangor MI 49013-1246 Ph: (269) 427-7937 | Intercare Riverwood Center 1485 M 139 Benton Harbor MI 49022-5711 Ph: (269) 926-2595 |
| NPI Number | 1902235328 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902235328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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