Colorado Department of Corrections
NPI 1104716240 · Prison Health Clinic/Center · Canon City, CO
Colorado Department of Corrections is a Prison Health Clinic/Center organization in Canon City, CO (NPI 1104716240).
Provider details
- NPI number
- 1104716240
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Colorado
- Organization subpart
- Yes
- Authorized official
- Randolph Maul, Chief Medical Officer(712) 306-2821
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Arrowhead Correctional Center
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Colorado Department of Corrections's NPI number?
- Colorado Department of Corrections's National Provider Identifier (NPI) is 1104716240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colorado Department of Corrections?
- Colorado Department of Corrections is classified in the NPPES registry as Prison Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Colorado Department of Corrections located?
- Colorado Department of Corrections's practice location on file with NPPES is Highway 50 East & Evans Blvd, Canon City, CO 81212.
- What is Colorado Department of Corrections's phone number?
- The practice phone number listed in the NPPES registry for Colorado Department of Corrections is (719) 569-5644.
- Who is the authorized official for Colorado Department of Corrections?
- The authorized official listed on Colorado Department of Corrections's NPPES record is Randolph Maul, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colorado Department of Corrections's NPI active?
- Yes — Colorado Department of Corrections's NPI (1104716240) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.