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 1538059670

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 Blvd
Canon City, CO 81212
Phone: (719) 269-5180
Fax: (719) 269-5192
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

Record details

NPI number1538059670
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Colorado
Authorized official Randolph Maul — Chief Medical Officer · (719) 306-2821
Other names Colorado State Penitentiary
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing addressPo Box 777, Csp Medical, Canon City, CO 81215

Other providers in Canon City