Healthcare Provider Details

I. General information

NPI: 1750297776
Provider Name (Legal Business Name): 406 DURABLE MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 W MAIN ST STE 9
BELGRADE MT
59714-3836
US

IV. Provider business mailing address

312 W MAIN ST STE 9
BELGRADE MT
59714-3836
US

V. Phone/Fax

Practice location:
  • Phone: 406-924-2188
  • Fax: 844-927-1807
Mailing address:
  • Phone: 406-924-2188
  • Fax: 844-927-1807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANDREW THOMAS DAVISON
Title or Position: CEO
Credential:
Phone: 406-924-2188