Colorado Department of Corrections
Colorado Department of Corrections is a Prison Health Clinic/Center in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2006.
- Licensed in
- CO
- In the registry since
- 2006
Practice location Address checks out
1410 W 13th StPueblo, CO 81003-1961
Phone: (719) 583-5550
Fax: (719) 583-5560
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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 · Licence 391 (CO) |
|---|
Record details
| NPI number | 1669530192 |
|---|---|
| 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 | San Carlos Correctional Facility |
| NPI enumerated | December 5, 2006 |
| Last updated in NPPES | June 24, 2025 |
| Certification date | June 24, 2025 |
| Mailing address | Po Box 3, Sccf Medical, Pueblo, CO 81002 |
Other providers in Pueblo
-
Colorado Department of Corrections
1401 W 17th St, Pueblo, CO 81003-1929 · (719) 583-5851
-
Colorado Department of Corrections
1300 W 13th St Yos Medical, Pueblo, CO 81003 · (719) 583-5579