Spinal Institute of Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

4542-12 Issued in WI

Legal business name

SPINAL INSTITUTE OF HEALTH LLC

Practice address

685 S Chestnut St
Platteville, WI 53818-3439

Phone

(608) 348-7771

Fax

(608) 348-7773

NPI assigned

Oct 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Clark Edward Benson, D.C.NPI 1083778575

Title

President/Dr.

Phone

(224) 489-2884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clark Edward Benson, D.C.

  • Chiropractor
  • Platteville, WI
  • NPI 1083778575
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1740516418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183439",
            "telephone_number": "608-348-7771",
            "fax_number": "608-348-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183439",
            "telephone_number": "608-348-7771",
            "fax_number": "608-348-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL INSTITUTE OF HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/DR.",
        "authorized_official_telephone_number": "224-489-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "4542-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Health Center, Inc. (Southwest Health Park Place Therapy)
• Southwestern Wi Communty Action Program (SWCAP Neighborhood Health Partners)
• Southwestern Wisconsin Community Action Program (Dental Hygiene Services and Dental Referral)
• Southwestern Wisconsin Community Action Program Inc (SWCAP Neighborhood Health Partners)
• Specific Adjustment Spine and Sports Injury Rehabilitation
• Andrew Edwin Stader
• Joseph Stader, PA-C
• Kerri Stange, PT
• Angela Diane Stauffacher, PHARMD
• Carol L Stephenson, L.P.N.

• Health Service Clinic/Center in Platteville, WI
• Providers in Platteville, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.