Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colorado Department of Corrections

Organization Prison Health Clinic/Center · NPI 1386196665

Colorado Department of Corrections is a Prison Health Clinic/Center in Limon, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016
Specialties on file
2

Practice location Address checks out

49030 State Hwy 71
Limon, CO 80826-0001
Phone: (719) 775-7653
Fax: (719) 775-7651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prison Health Clinic/Center (primary) Taxonomy 261QP2400X
Point of Service Taxonomy 305S00000X · Licence DEN.00104436 (CO)

Record details

NPI number1386196665
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Colorado
Authorized official Randolph Maul — Chief Medical Officer · (719) 306-2821
Other names Limon Correctional Facility
NPI enumeratedNovember 2, 2016
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address49030 State Hwy 71, Limon, CO 80826-0001