Organization Active NPI

Benchmark Atlantic Healthcare

  • Prosthetic/Orthotic Supplier
  • Williams Bay, WI
National Provider Identifier
1568797975
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BENCHMARK ATLANTIC HEALTHCARE
Practice address
93 W Geneva St
Williams Bay, WI 53191-9518
Phone
(262) 245-0305
Fax
(815) 578-0343
NPI assigned
Oct 3, 2009
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine Mary Boll, CMF
Title
President
Phone
(815) 578-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

93 W Geneva St
Williams Bay, WI 53191-9518

Mailing address

93 West Geneva Street
Williams Bay, IL 60050-7410
Phone (815) 578-0304

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1568797975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEST GENEVA STREET",
            "city": "WILLIAMS BAY",
            "state": "IL",
            "postal_code": "600507410",
            "telephone_number": "815-578-0304",
            "fax_number": "815-578-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919518",
            "telephone_number": "262-245-0305",
            "fax_number": "815-578-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK ATLANTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-03",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "BOLL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-578-0304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williams Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.