INTERCARE COMMUNITY HEALTH NETWORK (NPI# 1306064720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306064720 |
| Entity Type | Organization |
| Organization Name | INTERCARE COMMUNITY HEALTH NETWORK |
| Practice Address |
540 South State Street Sparta MI 49345 |
| Mailing Address |
50 Industrial Park Drive Bangor MI 49013 |
| Practice Telephone | 6168873800 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VELMA HENDERSHOTT (PRESIDENT CEO) |
| Authorized Official Telephone | 2694277937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701119 | Intercare Community Health Network | Counselor | 7450 Hochberger Rd Rm 15a, Eau Claire, MI 49111-9762 | 2019-07-02 |
| 1205363033 | Intercare Community Health Network | Clinic/Center | 796 Highway M-139, Benton Harbor, MI 49022-3881 | 2017-05-11 |
| 1891113353 | Intercare Community Health Network | Obstetrics & Gynecology | 50 Indusstrial Park Road, Bangor, MI 49013-1246 | 2014-04-02 |
| 1699808881 | Intercare Community Health Network | Clinic/Center | 6270 W Main Street, Eau Claire, MI 49111 | 2007-03-14 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1205349990 | Intercare Community Health Network | Psychologist | 5498 109th Ave, Pullman, MI 49450-9631 | 2017-11-16 |
| 1902235328 | Intercare Community Health Network | Clinic/Center | 1485 M 139, Benton Harbor, MI 49022-5711 | 2013-11-06 |
| 1225334063 | Intercare Community Health Network | Clinic/Center | 5498 109th Ave, Pullman, MI 49450-9631 | 2011-01-26 |
| 1558506253 | Intercare Community Health Network | Clinic/Center | 870 Colfax Ave, Benton Harbor, MI 49022-7409 | 2008-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERCARE COMMUNITY HEALTH NETWORK | 50 Industrial Park Rd, Bangor, MI 49013-1246 |
| Street Address |
540 SOUTH STATE STREET |
| City | SPARTA |
| State | MI |
| Zip Code | 49345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278105 | Sunkyo Seo | Dentist | 628 Lake Gerald Ct Ne, Sparta, MI 49345 | 2017-07-25 |
| 1811223050 | Freeland Chiropractic Center P.C. | Chiropractor | 200 East Division Street, Sparta, MI 49345 | 2009-10-22 |
| 1861616427 | Ann Elizabeth Fox | Physical Therapist | 31 Ida Red Avenue, Sparta, MI 49345 | 2007-04-12 |
| 1336215953 | George David Freeland | Chiropractor | 200 E Division, Sparta, MI 49345 | 2006-11-27 |
| 1033204557 | Dennis L Radke | Dentist | 72 East Division, Sparta, MI 49345 | 2006-10-03 |
| 1437190469 | John Stephen Lange | Dentist | 62 N Union, Sparta, MI 49345 | 2006-06-09 |
| 1659335172 | Home Town Pharmacy Inc | Pharmacy | 133 E Division, Sparta, MI 49345 | 2006-04-13 |
| 1336260298 | Vorpi Chiropractic Inc | Chiropractor | 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 | 2007-04-02 |
| 1649300203 | Lori Lynn Vorpi | Chiropractor | 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 | 2007-03-06 |
| 1760599906 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 475 S State St, Sparta, MI 49345 | 2006-08-24 |
| Find all providers in zip 49345 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1245417435 | Community Health Care Systems, Inc. | Clinic/Center | 675 Hamilton St, Sparta, GA 31087-1837 | 2008-01-30 |
| 1245769744 | Trinity Health - Michigan | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.