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CH050220 INTERCARE COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
INTERCARE COMMUNITY HEALTH NETWORK
Subdivision Name
INTERCARE ADMINISTRATION
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003872
340B ID
CH050220
Grant Number
H80CS00771
Additional Details
Current Program Status
Active
Registration Date
7/1/1998
Participating Start Date
7/1/1998
Participating Approval Date
3/10/2005
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
InterCare Community Health Network
VELMA HENDERSHOTT, CEO
(269) 427-7937 Ext: 200
Primary Contact
InterCare Community Health Network
John McElwee, Chief Financial Office
(269) 427-7937
Addresses
Street Address
50 Industrial Park Rd
Bangor, MI 49013-1246
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/10/05 - THIS RECORD WAS CREATED DUE TO AN ADMINISTRATIVE CORRECTION. IT IS THE MAIN SITE FOR THE GRANTEE AND THE 'BILL TO' ADDRESS FOR ALL CLINICS FOR THIS GRANTEE.
07/01/1998
April 2025
April 2025
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