INTERCARE COMMUNITY HEALTH NETWORK
NPI 1265254296
Clinic/Center - Federally Qualified Health Center (FQHC) in Otsego, MI

Active since October 30, 2024
538 WASHINGTON STREET ROOM #158, OTSEGO, MI 49078(855) 866-6900(269) 427-5180 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Intercare Community Health Network NPPES

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

INTERCARE COMMUNITY HEALTH NETWORK (NPI 1265254296) is a healthcare organization registered as a federally qualified health center (fqhc) in Otsego, Michigan and active in the NPI registry since October 2024. The organization lists Erica Mooneyhan, Credentialing & Enrollment Coordina, as its authorized official.

NPPES Registry Identity

NPI1265254296
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINTERCARE COMMUNITY HEALTH NETWORK
Location Address538 WASHINGTON STREET ROOM #158Otsego, MI 49078
Mailing Address50 Industrial Park RdBangor, MI 49013-1246 · (269) 427-7937 · Fax (269) 427-5180
Fax(269) 427-5180
Organization SubpartNo
Authorized OfficialErica MooneyhanCredentialing & Enrollment Coordina · (269) 427-7937
Enumeration DateOctober 30, 2024
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1265254296 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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
538 WASHINGTON STREET ROOM #158
OTSEGO, MI 49078

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's NPI number?

The NPI number for Intercare Community Health Network is 1265254296. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Intercare Community Health Network located?

Intercare Community Health Network is located at 538 Washington Street Room #158, Otsego, MI 49078. The listed phone number is (855) 866-6900.

What is Intercare Community Health Network'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 was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.