Provider Demographics
| NPI: | 1801580147 |
|---|---|
| Name: | CHER LLC |
| Entity type: | Organization |
| Organization Name: | CHER LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF REVENUE OFFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ANDREW |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BENSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 719-955-4332 |
| Mailing Address - Street 1: | 8610 EXPLORER DR UNIT 300 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLORADO SPRINGS |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80920-1036 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5124 W 20TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | GREELEY |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80634-3048 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 970-837-7100 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-06-08 |
| Last Update Date: | 2023-06-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Single Specialty |
| No | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | Radiology | Group - Single Specialty |