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CORIZON HEALTH
NPI 1528441276
Clinic/Center - Prison Health in Jefferson City, MO

Active since June 30, 2015
3702 W TRUMAN BLVD, SUITE 104, JEFFERSON CITY, MO 65109(573) 635-5315 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corizon Health NPPES

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

CORIZON HEALTH (NPI 1528441276) is a healthcare organization registered as a prison health in Jefferson City, Missouri and active in the NPI registry since June 2015. The organization lists Randy Bullington, Missouri Regional Physician Recruit, as its authorized official.

NPPES Registry Identity

NPI1528441276
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCORIZON HEALTH
Location Address3702 W TRUMAN BLVD, SUITE 104Jefferson City, MO 65109-4970
Mailing Address36 Stoneyside LnOlivette, MO 63132-4122 · (314) 610-1839
Phone(573) 635-5315
Organization SubpartNo
Authorized OfficialRandy BullingtonMissouri Regional Physician Recruit · (573) 635-5315
Enumeration DateJune 30, 2015
✔ NPI 1528441276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
License✔ Licensed in MO · 2015015777
3702 W TRUMAN BLVD, Jefferson City, MO 65109
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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.

DR. GREGORY MARKWAY PHD
Psychologist
3702 W TRUMAN BLVD, SUITE 115
JEFFERSON CITY, MO 65109
Cole County (573) 634-5303
DR. BENJAMIN SMITH GADDY II DO
Surgery
3702 W TRUMAN BLVD, SUITE 104
JEFFERSON CITY, MO 65109
Cole County (573) 635-5315
DR. LAUREL A KRAMER PHD
Psychologist
3702 W TRUMAN BLVD, SUITE 115
JEFFERSON CITY, MO 65109
Cole County (573) 634-5303
DR. JACQUELINE HENRY PHD
Psychologist
3702 W TRUMAN BLVD, SUITE 115
JEFFERSON CITY, MO 65109
Cole County (573) 634-5303

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 Corizon Health's NPI number?

The NPI number for Corizon Health is 1528441276. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Corizon Health located?

Corizon Health is located at 3702 W Truman Blvd Suite 104, Jefferson City, MO 65109. The listed phone number is (573) 635-5315.

What is Corizon Health'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 Corizon Health was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.