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Organization
COVENANT CONSUMER DIRECT
Active
Organization
COVENANT CONSUMER DIRECT
Active
Other names
Consumer Direct Covenant for MCOs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN BLEDSOE (PRESIDENT/CEO)
(406) 532-2001
Entity
Organization
Contact information
Practice address
3033 N. 44TH STREET, PHOENIX, AZ 85018-7228
(480) 354-5829
(877) 398-7967
Mailing address
100 CONSUMER DIRECT WAY, MISSOULA, MT 59808-5037
(406) 539-1900
(406) 532-1922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
03/11/2013
Last updated
12/08/2017
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