| Organization Name: | BLUEBIRD MEDICAL SUPPLY COMPANY |
| NPI Number: | 1952658577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILICA G MCDOWELL (CEO) |
| Mailing Address: | 777 East Main Street Suite 101 Bozeman |
| State: | MT US |
| Postal Code: | 597153809 |
| Phone Number: | 4065852860 |
| Fax Number: | 4065869708 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 13-00043496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |