Colorado Department of Corrections
Colorado Department of Corrections is a Prison Health Clinic/Center in Pueblo, Colorado. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1401 W 17th StPueblo, CO 81003-1929
Phone: (719) 583-5851
Fax: (719) 583-5852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prison Health Clinic/Center (primary) | Taxonomy 261QP2400X |
|---|
Record details
| NPI number | 1235027889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Colorado |
| Authorized official | Randolph Maul — Chief Medical Officer · (719) 306-2821 |
| Other names | Lavista Correctional Facility |
| NPI enumerated | June 24, 2025 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
| Mailing address | Po Box 3, Lvcf Medical, Pueblo, CO 81002 |
Other providers in Pueblo
-
Colorado Department of Corrections
1410 W 13th St, Pueblo, CO 81003-1961 · (719) 583-5550
-
Colorado Department of Corrections
1300 W 13th St Yos Medical, Pueblo, CO 81003 · (719) 583-5579