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 |