INTERCARE COMMUNITY HEALTH NETWORK (NPI# 1891113353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891113353 |
| Entity Type | Organization |
| Organization Name | INTERCARE COMMUNITY HEALTH NETWORK |
| Practice Address |
50 Indusstrial Park Road Bangor MI 49013-1246 |
| Practice Telephone | 2694277937 |
| Practice Fax Number | 2694275180 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | VELMA HENDERSHOTT (CEO/PRESIDENT) |
| Authorized Official Telephone | 2694277937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| 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 |
| 1306064720 | Intercare Community Health Network | Clinic/Center | 540 South State Street, Sparta, MI 49345 | 2007-04-23 |
| 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 |
50 INDUSSTRIAL PARK ROAD |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 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 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053724757 | Alec Anderson | Obstetrics & Gynecology | 417 State Stree, Webber West Suite 141, Bangor, ME 04401 | 2014-06-10 |
| 1356548168 | Christopher Alan Rumsey | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2007-06-27 |
| 1831125301 | Veronica L Vas | Obstetrics & Gynecology | 50 Industrial Park Rd, Bangor, MI 49013-1246 | 2006-06-24 |
| 1568012912 | Christopher A. Rumsey, D.o., P.a. | Obstetrics & Gynecology | 700 Mount Hope Ave Ste 480, Bangor, ME 04401-5659 | 2019-09-18 |
| 1679983621 | Kara Smythe | Obstetrics & Gynecology | 417 State St, Webber West Suite 141, Bangor, ME 04401-6630 | 2014-04-29 |
| 1033470414 | Farbod Nabizadeh | Obstetrics & Gynecology | 12 Stillwater Ave, Unit 1, Bangor, ME 04401-3984 | 2012-06-02 |
| 1558510792 | James Athanasius Macdonald V | Obstetrics & Gynecology | 417 State St, Webber West, Suite 141, Bangor, ME 04401-6630 | 2008-09-11 |
| 1386844702 | Garrick James Slate | Obstetrics & Gynecology | 417 State St, Suite 141, Bangor, ME 04401-6630 | 2007-07-24 |
| 1487771283 | Acadia Ob-gyn Associates, P.a. | Obstetrics & Gynecology | 68 Mount Hope Ave, Suite 3, Bangor, ME 04401-4096 | 2007-03-25 |
| 1003933805 | Murray Dana Lebowitz | Obstetrics & Gynecology | 417 State St, Webber West Suite 141, Bangor, ME 04401-6630 | 2007-03-25 |
| Find all providers in BANGOR | ||||
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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.