Provider Demographics
NPI:1013064039
Name:COMPBENEFITS INSURANCE COMPANY
Entity Type:Organization
Organization Name:COMPBENEFITS INSURANCE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP AND GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-998-8936
Mailing Address - Street 1:100 MANSELL CT E
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8847
Mailing Address - Country:US
Mailing Address - Phone:770-998-8936
Mailing Address - Fax:770-992-4349
Practice Address - Street 1:100 MANSELL CT E
Practice Address - Street 2:SUITE 400
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-8847
Practice Address - Country:US
Practice Address - Phone:770-998-8936
Practice Address - Fax:770-992-4349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization