| Intercare Women's Health Center | |
|
796 Highway M-139 Benton Harbor MI 49022-3881 | |
| (855) 869-6900 | |
| (269) 927-4208 |
| Full Name | Intercare Women's Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 796 Highway M-139, Benton Harbor, Michigan |
| Authorized Official Name and Position | Velma Henderrshott (CEO) |
| Authorized Official Contact | 2694277937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercare Women's Health Center 50 Industrial Park Rd Bangor MI 49013-1246 Ph: (269) 427-7937 | Intercare Women's Health Center 796 Highway M-139 Benton Harbor MI 49022-3881 Ph: (855) 869-6900 |
| NPI Number | 1205363033 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 9537061254 |
|---|---|
| Medicare Enrollment ID | O20171207002361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205363033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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