Provider Demographics
NPI:1386927507
Name:COHO1 INC
Entity type:Organization
Organization Name:COHO1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BEDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:303-421-3600
Mailing Address - Street 1:1127 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1506
Mailing Address - Country:US
Mailing Address - Phone:303-421-3600
Mailing Address - Fax:
Practice Address - Street 1:1127 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1506
Practice Address - Country:US
Practice Address - Phone:303-421-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility