OrganizationActive
Colorado Department of Corrections
NPI 1972493930 · Prison Health Clinic/Center · Pueblo, CO
Provider details
- NPI number
- 1972493930
- 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
1300 West 13th St
Yos Medical
Pueblo, CO 81003
Phone: (719) 583-5579
Fax: (719) 583-5585
Mailing address
1300 West 13th St
Pueblo, CO 81003
Registry dates
- Enumerated
- 2025-07-09
- Last updated
- 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.