Provider Demographics
NPI:1821164229
Name:BENCHMARK MOBILITY CORP
Entity Type:Organization
Organization Name:BENCHMARK MOBILITY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-337-9957
Mailing Address - Street 1:7051 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1959
Mailing Address - Country:US
Mailing Address - Phone:317-337-9957
Mailing Address - Fax:888-798-3974
Practice Address - Street 1:7051 CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1959
Practice Address - Country:US
Practice Address - Phone:317-337-9957
Practice Address - Fax:888-798-3974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENCHMARK MOBILITY CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN69000040A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000212753OtherANTHEM
IN200364310 AMedicaid
IN200642240AMedicaid
IN200642240AMedicaid