MEDICARE: IN-CARE NETWORK YOUTH CASE MANAGEMENT

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	11087	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285753186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-CARE NETWORK YOUTH CASE MANAGEMENT

Provider Business Mailing Address
First Line	:	2906 2ND AVE N
Second Line	:	SUITE 316
City	:	BILLINGS
State	:	MT
Zip	:	59101-2026
Country	:	US
Telephone Number	:	406-259-9616
Fax Number	:	406-259-5129

Provider Business Practice Location Address
First Line	:	2906 2ND AVE N
Second Line	:	SUITE 316
City	:	BILLINGS
State	:	MT
Zip	:	59101-2026
Country	:	US
Telephone Number	:	406-259-9616
Fax Number	:	406-259-5129

Authorized Official
Title or Position	:	EXECUITIVE DIRECTOR
Name	:	WILLIAM SNELL JR.
Credential	:
Telephone Number	:	406-259-9616

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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