1. Home
  2. Directory
  3. Colorado
  4. Canon City
  5. Clinic Center
  6. NPI Profile

COLORADO DEPARTMENT OF CORRECTIONS
NPI 1104716240
Clinic/Center - Prison Health in Canon City, CO

Active since July 09, 2025
HIGHWAY 50 EAST & EVANS BLVD, CANON CITY, CO 81212(719) 569-5644(719) 269-5656 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colorado Department Of Corrections NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO DEPARTMENT OF CORRECTIONS (NPI 1104716240) is a healthcare organization registered as a prison health in Canon City, Colorado and active in the NPI registry since July 2025. The organization lists Randolph Maul, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1104716240
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCOLORADO DEPARTMENT OF CORRECTIONS
Location AddressHIGHWAY 50 EAST & EVANS BLVDCanon City, CO 81212
Mailing AddressPo Box 300, Cmc MedicalCanon City, CO 81215 · (719) 269-5644
Phone(719) 569-5644
Fax(719) 269-5656
Organization SubpartYesParent: State Of Colorado
Authorized OfficialRandolph MaulChief Medical Officer · (712) 306-2821
Enumeration DateJuly 9, 2025
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1104716240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
HIGHWAY 50 EAST & EVANS BLVD, Canon City, CO 81212
Open in Google Maps ↗

Other Names 1

Other NameArrowhead Correctional Center

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLORADO DEPARTMENT OF CORRECTIONS
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Fremont County (719) 269-5374
COLORADO DEPARTMENT OF CORRECTIONS
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Fremont County (719) 269-5180
COLORADO DEPARTMENT OF CORRECTIONS
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Fremont County (719) 269-5374
COLORADO DEPARTMENT OF CORRECTIONS
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Fremont County (719) 269-4812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Department Of Corrections's NPI number?

The NPI number for Colorado Department Of Corrections is 1104716240. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider is also known as Arrowhead Correctional Center.

Where is Colorado Department Of Corrections located?

Colorado Department Of Corrections is located at Highway 50 East & Evans Blvd, Canon City, CO 81212. The listed phone number is (719) 569-5644.

What is Colorado Department Of Corrections's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Colorado Department Of Corrections was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.