COLORADO DEPARTMENT OF CORRECTIONS
NPI 1235027889
Clinic/Center - Prison Health in Pueblo, CO
About Colorado Department Of Corrections NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORADO DEPARTMENT OF CORRECTIONS (NPI 1235027889) is a healthcare organization registered as a prison health in Pueblo, Colorado and active in the NPI registry since June 2025. The organization lists Randolph Maul, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1235027889. It was assigned to this organization in the NPPES registry on June 24, 2025. The provider is also known as LaVista Correctional Facility.
Where is Colorado Department Of Corrections located?
Colorado Department Of Corrections is located at 1401 W 17th St, Pueblo, CO 81003. The listed phone number is (719) 583-5851.
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.
