MEDICARE: AFFINITY CASE MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1083135842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY CASE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	3030 COTTON CREEK PL
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82604-3657
Country	:	US
Telephone Number	:	307-277-7652
Fax Number	:	307-237-0362

Provider Business Practice Location Address
First Line	:	3030 COTTON CREEK PL
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82604-3657
Country	:	US
Telephone Number	:	307-277-7652
Fax Number	:	307-237-0362

Authorized Official
Title or Position	:	OWNER
Name	:	JAMIE M HILL
Credential	:
Telephone Number	:	307-277-7652

Provider Enumeration Date	:	07/02/2017
Last Update Date	:	07/21/2022

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