OrganizationActive
Colo State Dept of C Orrections
NPI 1720148935 · Clinic/Center · Denver, CO
Provider details
- NPI number
- 1720148935
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cary Shames, Mco(303) 307-2600
- License
- 1380 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
3600 Havana
Denver, CO 80236
Phone: (303) 307-2600
Street-level locationGet directions
Mailing address
3600 Havana St
Denver, CO 80239-3266
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.