INTERCARE COMMUNITY HEALTH NETWORK
NPI 1336701119
Clinic/Center - Federally Qualified Health Center (FQHC) in Eau Claire, MI
NPI Status: Active since July 02, 2019
Contact Information
7450 HOCHBERGER RD RM 15A
EAU CLAIRE, MI
ZIP 49111
Phone: (269) 461-6947
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 23D0665452
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 09-30-2025
About INTERCARE COMMUNITY HEALTH NETWORK
This page provides the complete NPI Profile along with additional information for Intercare Community Health Network, a primary care provider established in Eau Claire, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336701119 assigned on July 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Intercare Community Health Network operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Velma Hendershott (Ceo/president)
- NPI
- 1336701119
- Provider Name
- INTERCARE COMMUNITY HEALTH NETWORK
- Entity Type
- Organization
- Location Address
- 7450 HOCHBERGER RD RM 15A EAU CLAIRE, MI 49111
- Location Phone
- (269) 461-6947
- Mailing Address
- 50 INDUSTRIAL PARK RD BANGOR, MI 49013
- Mailing Phone
- (269) 427-7937
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2019
- Last Update Date
- 07-02-2019
- Code Navigator
A primary care provider (PCP) like Intercare Community Health Network sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YS0200X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0665452
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- October 01, 2023
- Certificate Expiration Date
- September 30, 2025
- Laboratory Director
- LISA M. FINK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intercare Community Health Network to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 0 | 1 | 1 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 0 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 0 + 2 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1336701119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336701119, enumerated as an "organization" on July 02, 2019.
The provider is located at 7450 HOCHBERGER RD RM 15A EAU CLAIRE, MI 49111 and the phone number is (269) 461-6947.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
