Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1811547680
Tax ID
384037386
Effective Date
8/24/2017
Last Updated
9/15/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4010 Bienville Boulevard Unit E
Ocean Springs, MS 39564
United States
Phone
228-300-6001 (Phone)
Billing Details
Address
1509 Jackson Avenue
Pascagoula, MS 39567
Billing Phone
228-220-1600
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address