Organization Name: | BENCHMARK HEALTHCARE SERVICES, LLC |
NPI Number: | 1336498393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVETTE WALLACE (DIRECTOR OF CONTRACTING) |
Mailing Address: | 1135 Stonecrest Blvd Ste 103 Tega Cay |
State: | SC US |
Postal Code: | 297086559 |
Phone Number: | 8035479940 |
Fax Number: | 8035479942 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |