NPIMap

Organization Active NPI

Vendor Pro Healthcare Services

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
National Provider Identifier
1871075580
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VENDOR PRO HEALTHCARE SERVICES
Doing business as
Vendor Pro Healthcare Services
Practice address
42 Bow Perch LN Ste 4
Bozeman, MT 59718-9362
Phone
(406) 219-1933
Fax
(406) 219-1933
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tyler Doyle Bohannon
Title
Owner
Phone
(406) 219-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

42 Bow Perch LN Ste 4
Bozeman, MT 59718-9362

Mailing address

42 Bow Perch LN Ste 4
Bozeman, MT 59718-9362
Phone (406) 219-1933

Other names 1

  • Vendor Pro Healthcare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1871075580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BOW PERCH LN STE 4",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189362",
            "telephone_number": "406-219-1933",
            "fax_number": "406-219-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BOW PERCH LN STE 4",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189362",
            "telephone_number": "406-219-1933",
            "fax_number": "406-219-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDOR PRO HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-219-1922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vendor Pro Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.