OrganizationActive
Colorado Department of Corrections
NPI 1386196665 · Prison Health Clinic/Center · Limon, CO
Provider details
- NPI number
- 1386196665
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Colorado
- Authorized official
- Randolph Maul, Chief Medical Officer
- License
- DEN.00104436 (CO)
Practice location
49030 State Hwy 71
Limon, CO 80826-0001
Phone: (719) 775-7653
Fax: (719) 775-7651
Mailing address
49030 State Hwy 71
Limon, CO 80826-0001
Registry dates
- Enumerated
- 2016-11-02
- 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.