Answer 1:
Downloading bootstrap through npm (or bower) permits you to gain some latency time. Instead of getting a remote resource, you get a local one, it's quicker, except if you use a cdn (check below answer)
"npm" was originally to get Node Module, but with the essort of the Javascript language (and the advent of browserify), it has a bit grown up. In fact, you can even download AngularJS on npm, that is not a server side framework. Browserify permits you to use AMD/RequireJS/CommonJS on client side so node modules can be used on client side.
Answer 2:
If you npm install bootstrap (if you dont use a particular grunt or gulp file to move to a dist folder), your bootstrap will be located in "./node_modules/bootstrap/bootstrap.min.css" if I m not wrong.