MEDICARE: BENCHMARK HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1811365349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENCHMARK HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	6397 LEE HWY STE 300
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2564
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 FORDING ISLAND RD STE F-101
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4211
Country	:	US
Telephone Number	:	843-815-2563
Fax Number	:	843-815-2562

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	KEVIN JOHANNESON
Credential	:
Telephone Number	:	423-238-8923

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	08/31/2017

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Directions to “BENCHMARK HEALTHCARE SERVICES ” Practice Location

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