COLORADO DEPARTMENT OF CORRECTIONS; NPI #1235027889

Contact Information

COLORADO DEPARTMENT OF CORRECTIONS

1401 W 17TH ST
PUEBLO, CO 81003-1929

Phone: 719-583-5851
Fax: 719-583-5852
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for COLORADO DEPARTMENT OF CORRECTIONS

NPI #	`1235027889`
LBN Legal business name	COLORADO DEPARTMENT OF CORRECTIONS
Authorized official	RANDOLPH MAUL - (CHIEF MEDICAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	06/24/2025
Last updated	07/14/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COLORADO DEPARTMENT OF CORRECTIONS

Contact Information

Specialty

Prison Health

NPI Profile & details for COLORADO DEPARTMENT OF CORRECTIONS

Reviews for COLORADO DEPARTMENT OF CORRECTIONS