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INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN
NPI 1114335767
Clinic/Center - Federally Qualified Health Center (FQHC) in Bangor, MI

Active since July 28, 2014CLIA Certified · 8 labs
308 CHARLES STREET, BANGOR, MI 49013(269) 427-7937(269) 427-5180 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Intercare Community Heath Network Medical Van NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN (NPI 1114335767) is a healthcare organization registered as a federally qualified health center (fqhc) in Bangor, Michigan and active in the NPI registry since July 2014. The organization holds 8 active CLIA laboratory certificates and lists Velma Hendershott, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1114335767
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINTERCARE COMMUNITY HEATH NETWORK MEDICAL VAN
Location Address308 CHARLES STREETBangor, MI 49013-1246
Mailing Address50 Industrial Park DriveBangor, MI 49013-1246 · (269) 427-7937 · Fax (269) 427-5180
Phone(269) 427-7937
Fax(269) 427-5180
Organization SubpartNo
Authorized OfficialVelma HendershottCeo/president · (269) 427-7937
Enumeration DateJuly 28, 2014
✔ NPI 1114335767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
308 CHARLES STREET, Bangor, MI 49013
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CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0711442

Intercare Community Health Network · Bangor, MI
Active · expires Sep 30, 2027
CLIA Number23D0711442
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLana J. Zarlengo
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network308 Charles Street, Bangor, MI 49013
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0711443

Intercare Community Health Network · Holland, MI
Active · expires Feb 24, 2028
CLIA Number23D0711443
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorLisa M. Fink
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network285 James Street, Holland, MI 49424
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 23D0665452

Intercare Community Health Network · Pullman, MI
Active · expires Sep 30, 2027
CLIA Number23D0665452
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLana J. Zarlengo
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network5498 109th Avenue, Pullman, MI 49450
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D1093577

Intercare Community Health Network · Benton Harbor, MI
Active · expires Sep 30, 2027
CLIA Number23D1093577
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLana J. Zarlengo
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network870 Colfax Avenue, Benton Harbor, MI 49022
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2086231

Intercare Community Health Network · Bangor, MI
Active · expires Sep 30, 2027
CLIA Number23D2086231
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorLana J. Zarlengo
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network50 Industrial Drive, Bangor, MI 49013
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2137417

Intercare Community Health Network · Benton Harbor, MI
Active · expires Sep 25, 2027
CLIA Number23D2137417
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorLana J. Zarlengo
Laboratory Phone(269) 427-7937
Laboratory LocationIntercare Community Health Network796 M-139, Benton Harbor, MI 49022
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERCARE COMMUNITY HEALTH NETWORK DENTAL VAN
Clinic/Center (Federally Qualified Health Center (FQHC))
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7937
BRANDY L ZANTELLO
Dental Hygienist
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7969
WILLIAM L WILKINSON MD
Family Medicine
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7967
TERRI LYNN HARBIN ILG RDH
Dental Hygienist
308 CHARLES STREET, INTERCARE COMMUNITY HEALTH NETWORK
BANGOR, MI 49013
Van Buren County (269) 427-7967
NANCY CERNY RDH
Dental Hygienist
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (855) 869-6900
CAROLYN THON RDH
Dental Hygienist
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7967
ALICIA SCUILETTI
Dental Hygienist
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7969
NANCY ANNE VIRGILIO PA C
Physician Assistant
308 CHARLES STREET
BANGOR, MI 49013
Van Buren County (269) 427-7967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intercare Community Heath Network Medical Van's NPI number?

The NPI number for Intercare Community Heath Network Medical Van is 1114335767. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Intercare Community Heath Network Medical Van located?

Intercare Community Heath Network Medical Van is located at 308 Charles Street, Bangor, MI 49013. The listed phone number is (269) 427-7937.

What is Intercare Community Heath Network Medical Van's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Intercare Community Heath Network Medical Van hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Intercare Community Heath Network Medical Van was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.