Provider Demographics
NPI:1144550872
Name:DIRECT HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:DIRECT HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REDEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMICAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-413-2087
Mailing Address - Street 1:PO BOX 4187
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-4187
Mailing Address - Country:US
Mailing Address - Phone:307-203-2915
Mailing Address - Fax:877-382-7638
Practice Address - Street 1:220 E BROADWAY ST.
Practice Address - Street 2:2G
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001
Practice Address - Country:US
Practice Address - Phone:307-203-2915
Practice Address - Fax:877-382-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY22005037332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies