| Benchmark HS | |
|
1135 Stonecrest Blvd Ste 103 Tega Cay SC 29708-6559 | |
| (803) 547-9940 | |
| (803) 547-9942 |
| Full Name | Benchmark HS |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 1135 Stonecrest Blvd Ste 103, Tega Cay, South Carolina |
| Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) |
| Authorized Official Contact | 4232387217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark HS 6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217 | Benchmark HS 1135 Stonecrest Blvd Ste 103 Tega Cay SC 29708-6559 Ph: (803) 547-9940 |
| NPI Number | 1336498393 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336498393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
Omara Health and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Stonecrest Blvd Ste 105, Tega Cay, SC 29708 Phone: 839-777-3864 |