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NPI Code Detail

MEDICARE: CONSUMER DIRECT FOR MICHIGAN

MEDICARE: CONSUMER DIRECT FOR MICHIGAN
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1497117501
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSUMER DIRECT FOR MICHIGAN
Provider Business Mailing Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 406-532-1929
Fax Number :
Provider Business Practice Location Address
First Line : 100 CONSUMER DIRECT WAY
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5037
Country : US
Telephone Number : 406-532-1900
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. BEN BLEDSOE
Credential :
Telephone Number : 406-532-2001
Provider Enumeration Date : 03/28/2016
Last Update Date : 12/26/2017

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Directions to “CONSUMER DIRECT FOR MICHIGAN ” Practice Location

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