Healthcare Provider Details

I. General information

NPI: 1114013448
Provider Name (Legal Business Name): BOTTOM LINE INCONTINENCE SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 7TH STREET SOUTH
GREAT FALLS MT
59401
US

IV. Provider business mailing address

117 7TH STREET SOUTH
GREAT FALLS MT
59401
US

V. Phone/Fax

Practice location:
  • Phone: 406-452-2986
  • Fax: 406-452-2272
Mailing address:
  • Phone: 406-452-2986
  • Fax: 406-452-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK ROWAN CAPPIS
Title or Position: OWNER-PRESIDENT
Credential: CPA
Phone: 406-799-7286