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NPI Code Detail

MEDICARE: BENCHMARK BEHAVIORAL HEALTH SYSTEM INC

MEDICARE: BENCHMARK BEHAVIORAL HEALTH SYSTEM INC
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
1323P00000XPsychiatric Residential Treatment Facility2006-HOSP-168UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598772618
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK BEHAVIORAL HEALTH SYSTEM INC
Provider Business Mailing Address
First Line : 592 WEST 1350 SOUTH
Second Line :
City : WOODS CROSS
State : UT
Zip : 84087
Country : US
Telephone Number : 801-299-5300
Fax Number : 801-299-5325
Provider Business Practice Location Address
First Line : 592 WEST 1350 SOUTH
Second Line :
City : WOODS CROSS
State : UT
Zip : 84087
Country : US
Telephone Number : 801-299-5300
Fax Number : 801-299-5325
Authorized Official
Title or Position : SRVP CFO
Name : STEVE FILTON
Credential :
Telephone Number : 610-738-3300
Provider Enumeration Date : 08/02/2006
Last Update Date : 03/14/2011

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Directions to “BENCHMARK BEHAVIORAL HEALTH SYSTEM INC ” Practice Location

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