Organization Active NPI

CH-Denver II, LLC

Doing business as Fresh Air Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Greeley, CO
National Provider Identifier
1174616783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CH-DENVER II, LLC
Doing business as
Fresh Air Medical Supply
Practice address
1990 59TH Avenue
Suite E
Greeley, CO 80634
Phone
(970) 395-0404
Fax
(970) 395-0606
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen W Briscoe
Title
Manager
Phone
(970) 395-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

1990 59TH Avenue
Suite E
Greeley, CO 80634

Mailing address

P O Box 336250
Greeley, CO 80633
Phone (970) 395-0404

Other identifiers 1

IdentifierTypeStateIssuer
55684874MedicaidCO

Other names 1

  • FRESH AIR MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

1990 59th Ave
Ste E
Greeley, CO 80634
Phone (970) 395-0404

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174616783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 336250",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80633",
            "telephone_number": "970-395-0404",
            "fax_number": "970-395-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 59TH AVENUE",
            "address_2": "SUITE E",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-395-0404",
            "fax_number": "970-395-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH-DENVER II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-395-0404"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55684874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH AIR MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.