Active NPI
Benchmark Atlantic Healthcare
- Prosthetic/Orthotic Supplier
- Williams Bay, WI
National Provider Identifier
1568797975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.