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Contact Information

COLORADO DEPARTMENT OF CORRECTIONS
1410 W 13TH ST
PUEBLO, CO81003-1961
 Phone: 719-583-5550
 Fax: 719-583-5560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for COLORADO DEPARTMENT OF CORRECTIONS

NPI Number 1669530192
LBN Legal business name COLORADO DEPARTMENT OF CORRECTIONS
Authorized official RANDOLPH MAUL - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/05/2006
Last updated 06/24/2025 - About 12 months ago
Identifiers
CO License # 391
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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