Provider Demographics
NPI:1619103645
Name:CONSUMER DIRECTIONS, INCORPORATED
Entity Type:Organization
Organization Name:CONSUMER DIRECTIONS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAMPFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-420-1017
Mailing Address - Street 1:PO BOX 6128
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56302-6128
Mailing Address - Country:US
Mailing Address - Phone:320-420-1017
Mailing Address - Fax:320-258-3238
Practice Address - Street 1:22 WILSON AVE NE
Practice Address - Street 2:SUITE 205
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0440
Practice Address - Country:US
Practice Address - Phone:320-420-1017
Practice Address - Fax:320-258-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA669467501OtherUMPI