Provider Demographics
NPI:1003462581
Name:BUMP HEALTH INC
Entity Type:Organization
Organization Name:BUMP HEALTH INC
Other - Org Name:BUMP BOXES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DEEHRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-913-7879
Mailing Address - Street 1:7719 N PIONEER LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1910
Mailing Address - Country:US
Mailing Address - Phone:888-913-7879
Mailing Address - Fax:
Practice Address - Street 1:7719 N PIONEER LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1910
Practice Address - Country:US
Practice Address - Phone:888-913-7879
Practice Address - Fax:309-405-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1003462581Medicaid
MO620109893Medicaid
IA1003462581Medicaid
IN300065914Medicaid
IL5100521Medicaid
WI100201828Medicaid
VA30015097360002Medicaid
AZ159003Medicaid
KS30004828660001Medicaid
KY7100864750Medicaid