Organization
CHERCO INC
Active
Other names
BedPan Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN DOUGLAS CADY DME PROVIDER (OWNER / VICE PRESIDENT)
(307) 472-3012
Entity
Organization
Contact information
Practice address
4190 S POPLAR ST, CASPER, WY 82601-6104
(307) 472-3012
(307) 472-3139
Mailing address
4190 S POPLAR ST, CASPER, WY 82601-6104
(307) 472-3012
(307) 472-3139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01007561
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314122
BLUECROSS BLUESHIELD
WY
01
—
3330801
WORKERS COMPENSATION BA#
WY
Enumeration date
10/06/2006
Last updated
08/22/2020
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