COLORADO DEPARTMENT OF CORRECTIONS – NPI #1669360251
Clinic/Center

COLORADO DEPARTMENT OF CORRECTIONS is an AHC clinic located in DENVER, CO. NPPES has assigned the NPI number 1669360251 to COLORADO DEPARTMENT OF CORRECTIONS on June 24, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Prison Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLORADO DEPARTMENT OF CORRECTIONS below.

NPI Profile for
COLORADO DEPARTMENT OF CORRECTIONS

NPI Number
1669360251
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLORADO DEPARTMENT OF CORRECTIONS
Primary location
3600 HAVANA ST
DENVER, CO 80239-3266
Phone: (303) 307-2611 Fax: (303) 307-2607
Mailing address
PO BOX 392005
DWCF MEDICAL
DENVER, CO 80239
Phone: (303) 307-2611 Fax: (303) 307-2607
Organization Subpart
Yes - COLORADO DEPARTMENT OF CORRECTIONS is subpart of another organization.
Authorized Official
RANDOLPH MAUL
CHIEF MEDICAL OFFICER
Phone: (719) 306-2821
Updated
Certification Date
Jun 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2400X
- Clinic/Center / Prison Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.