Healthcare Provider Details

I. General information

NPI: 1265552822
Provider Name (Legal Business Name): IN-CARE NETWORK MHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 2ND AVE N
BILLINGS MT
59101-2026
US

IV. Provider business mailing address

2906 2ND AVE N
BILLINGS MT
59101-2026
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-9616
  • Fax: 406-259-5129
Mailing address:
  • Phone: 406-259-9616
  • Fax: 406-259-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number11087
License Number StateMT

VIII. Authorized Official

Name: WILLIAM SNELL JR.
Title or Position: EXECUITIVE DIRECTOR
Credential:
Phone: 406-259-9616