OrganizationActive
Colorado Department of Corrections
NPI 1154219806 · Prison Health Clinic/Center · Ordway, CO
Provider details
- NPI number
- 1154219806
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Colorado
- Authorized official
- Randolph Maul, Chief Medical Officer
Practice location
12750 Hwy 96 at Lane 13
Avcf Medical
Ordway, CO 81034
Phone: (719) 267-5085
Mailing address
12750 Hwy 96 at Lane 13
Ordway, CO 81034
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.