Intercare Community Health Network

A Medicare group practice based in Benton Harbor, MI: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 9537061254), with 110 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537061254The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
8
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 5 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20190912002295 MI Part A Provider - Federally Qualified Health Center (FQHC) 1336701119
O20090113000153 MI Part A Provider - Federally Qualified Health Center (FQHC) 1558506253
O20040123000420 MI Part A Provider - Federally Qualified Health Center (FQHC) 1457361677
O20040123000356 MI Part A Provider - Federally Qualified Health Center (FQHC) 1982614103
O20040123000299 MI Part A Provider - Federally Qualified Health Center (FQHC) 1992818835
O20040123000154 MI Part A Provider - Federally Qualified Health Center (FQHC) 1861402067
O20040223000150 MI Part B Supplier - Clinic/Group Practice 1326058512
O20171207002361 MI Part A Provider - Federally Qualified Health Center (FQHC) 1205363033

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 110

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (109) or whom Care Compare lists as members (18).

Sources for this page