Organization
BUMP HEALTH INC
Active
Other names
Bump Boxes, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND DANIEL DEEHRING (PRESIDENT)
(888) 913-7879
Entity
Organization
Contact information
Practice address
7719 N PIONEER LN, PEORIA, IL 61615-1910
(888) 913-7879
(309) 405-0268
Mailing address
7719 N PIONEER LN, PEORIA, IL 61615-1910
(888) 913-7879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201828
—
WI
05
—
1003462581
—
IA
05
—
1003462581
—
MI
05
—
159003
—
AZ
05
—
30004828660001
—
KS
05
—
300065914
—
IN
05
—
30015097360002
—
VA
05
—
5100521
—
IL
05
—
620109893
—
MO
05
—
7100864750
—
KY
Enumeration date
08/12/2019
Last updated
11/19/2024
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