Provider Demographics
NPI:1285215210
Name:CH MH SERVICES (UT), LLC
Entity type:Organization
Organization Name:CH MH SERVICES (UT), LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-219-7835
Mailing Address - Street 1:169 MADISON AVE STE 15011
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5101
Mailing Address - Country:US
Mailing Address - Phone:406-361-3001
Mailing Address - Fax:406-794-0395
Practice Address - Street 1:3995 S 700 E STE 75
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2539
Practice Address - Country:US
Practice Address - Phone:406-219-7835
Practice Address - Fax:406-794-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)