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NPI Code Detail

MEDICARE: CONSUMER DIRECT CARE NETWORK VIRGINIA

MEDICARE: CONSUMER DIRECT CARE NETWORK VIRGINIA
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
1251B00000XCase Management Agency
2171M00000XCase Manager/Care Coordinator
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1538649983
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSUMER DIRECT CARE NETWORK VIRGINIA
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 : 406-532-1929
Fax Number :
Authorized Official
Title or Position : LEGAL MANAGER
Name : HOLLY STEPHENS
Credential :
Telephone Number : 406-532-1929
Provider Enumeration Date : 08/15/2018
Last Update Date : 05/04/2026

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Directions to “CONSUMER DIRECT CARE NETWORK VIRGINIA ” Practice Location

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