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NPI Code Detail

MEDICARE: BENCHMARK HEALTHCARE SERVICES LLC

MEDICARE: BENCHMARK HEALTHCARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2261QR0400XRehabilitation Clinic/Center
3261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1215242920
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : 8823 PRODUCTION LN
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-6511
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 2707 CITICO AVE STE B
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37406-3402
Country : US
Telephone Number : 423-698-0853
Fax Number : 423-698-0778
Authorized Official
Title or Position : PRESIDENT
Name : TROY D. BAGE
Credential :
Telephone Number : 423-238-7217
Provider Enumeration Date : 08/18/2010
Last Update Date : 08/18/2010

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Directions to “BENCHMARK HEALTHCARE SERVICES LLC ” Practice Location

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