Provider Demographics
NPI:1184012957
Name:BENCHMARK HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:BENCHMARK HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JISELE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-478-5350
Mailing Address - Street 1:1850A TOWN CENTER PKWY
Mailing Address - Street 2:STE 410
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5851
Mailing Address - Country:US
Mailing Address - Phone:703-478-5350
Mailing Address - Fax:703-435-3739
Practice Address - Street 1:1850A TOWN CENTER PKWY
Practice Address - Street 2:STE 410
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5851
Practice Address - Country:US
Practice Address - Phone:703-478-5350
Practice Address - Fax:703-435-3739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031520174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty