Healthcare Provider Details

I. General information

NPI: 1386927507
Provider Name (Legal Business Name): COHO1 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 E 16TH AVE
DENVER CO
80218-1506
US

IV. Provider business mailing address

1127 E 16TH AVE
DENVER CO
80218-1506
US

V. Phone/Fax

Practice location:
  • Phone: 303-421-3600
  • Fax:
Mailing address:
  • Phone: 303-421-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MARK D BEDINGER
Title or Position: PRESIDENT/CEO
Credential: NHA
Phone: 303-421-3600