OrganizationActive
Colorado Department of Corrections
NPI 1326936022 · Prison Health Clinic/Center · Canon City, CO
Provider details
- NPI number
- 1326936022
- 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
275 W US Highway 50
Canon City, CO 81212-6700
Phone: (719) 269-4081
Fax: (719) 269-4235
Mailing address
Po Box 1010
Canon City, CO 81215
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.