Provider Demographics
NPI:1437277423
Name:JENSEN MEDICAL INC.
Entity Type:Organization
Organization Name:JENSEN MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-751-7292
Mailing Address - Street 1:3095 S PEORIA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5714
Mailing Address - Country:US
Mailing Address - Phone:303-751-7292
Mailing Address - Fax:303-751-3425
Practice Address - Street 1:3095 S PEORIA ST
Practice Address - Street 2:SUITE C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5714
Practice Address - Country:US
Practice Address - Phone:303-751-7292
Practice Address - Fax:303-751-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2181140332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08000259Medicaid
CO08000259Medicaid