Provider Demographics
NPI:1376638981
Name:BENCHMARK COMMUNICATION SERVICES, INC
Entity Type:Organization
Organization Name:BENCHMARK COMMUNICATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:BAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:336-956-0535
Mailing Address - Street 1:350 GOLDENROD LANE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-6889
Mailing Address - Country:US
Mailing Address - Phone:336-956-0535
Mailing Address - Fax:336-956-6887
Practice Address - Street 1:350 GOLDENROD LANE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-6889
Practice Address - Country:US
Practice Address - Phone:336-956-0535
Practice Address - Fax:336-956-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6090235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0828118OtherSOSID
NC7412311Medicaid