Colorado Department of Corrections
Colorado Department of Corrections is a Prison Health Clinic/Center in Canon City, Colorado. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
Highway 50 East & Evans BlvdCanon City, CO 81212
Phone: (719) 269-5374
Fax: (719) 269-5363
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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 | 1518857531 |
|---|---|
| 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 | Four Mile Correctional Center |
| NPI enumerated | July 9, 2025 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
| Mailing address | Po Box 300, Canon City, CO 81215-0300 |
Other providers in Canon City
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Colorado Department of Corrections
Highway 50 East & Evans Blvd, Canon City, CO 81212 · (719) 569-5644
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Colorado Department of Corrections
275 W US Highway 50, Canon City, CO 81212-6700 · (719) 269-4081
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Colorado Department of Corrections
Highway 50 East & Evans Blvd, Canon City, CO 81212 · (719) 269-5180
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Colorado Department of Corrections
Highway 50 East & Evans Blvd, Canon City, CO 81212 · (719) 269-5374
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Colorado Department of Corrections
Highway 50 East & Evans Blvd, Canon City, CO 81212 · (719) 269-4812