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INTERCARE COMMUNITY HEALTH NETWORK DENTAL VAN
NPI 1194133744
Clinic/Center - Federally Qualified Health Center (FQHC) in Bangor, MI

Active since July 28, 2014
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: August 02, 2026.

About Intercare Community Health Network Dental Van NPPES

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

INTERCARE COMMUNITY HEALTH NETWORK DENTAL VAN (NPI 1194133744) 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 lists Velma Hendershott, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1194133744
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINTERCARE COMMUNITY HEALTH NETWORK DENTAL VAN
Location Address308 CHARLES STREETBangor, MI 49013-1246
Mailing Address50 Industrial Park RdBangor, 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 1194133744 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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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 HEATH NETWORK MEDICAL 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 Health Network Dental Van's NPI number?

The NPI number for Intercare Community Health Network Dental Van is 1194133744. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Intercare Community Health Network Dental Van located?

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

What is Intercare Community Health Network Dental Van's specialty?

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

When was this NPI record last updated?

The NPPES record for Intercare Community Health Network Dental Van was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.