Provider Demographics
NPI:1073505400
Name:TENSPEDE MEDICAL, INC.
Entity Type:Organization
Organization Name:TENSPEDE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-696-2900
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95604-0300
Mailing Address - Country:US
Mailing Address - Phone:800-696-2900
Mailing Address - Fax:530-885-3631
Practice Address - Street 1:200 LINDEN AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5280
Practice Address - Country:US
Practice Address - Phone:925-460-0910
Practice Address - Fax:925-460-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03441FMedicaid
CADME00596FMedicaid
CADME03441FMedicaid