Provider Demographics
NPI:1114978384
Name:BEDGE, INC.
Entity Type:Organization
Organization Name:BEDGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-507-2772
Mailing Address - Street 1:400 S FARRELL DR
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7964
Mailing Address - Country:US
Mailing Address - Phone:619-507-2772
Mailing Address - Fax:
Practice Address - Street 1:400 S FARRELL DR
Practice Address - Street 2:SUITE B-102
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7964
Practice Address - Country:US
Practice Address - Phone:619-507-2772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies