COLORADO DEPARTMENT OF CORRECTIONS
NPI 1720978752
Clinic/Center - Prison Health in Canon City, CO

Active since July 09, 2025
HIGHWAY 50 EAST & EVANS BLVD, CANON CITY, CO 81212(719) 269-5374(719) 269-5363 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1720978752) 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

NPI1720978752
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameCOLORADO DEPARTMENT OF CORRECTIONS
Location AddressHIGHWAY 50 EAST & EVANS BLVDCanon City, CO 81212
Mailing AddressPo Box 999Canon City, CO 81215-0999 · (719) 269-5053 · Fax (719) 269-5090
Fax(719) 269-5363
Organization SubpartYesParent: State Of Colorado
Authorized OfficialRandolph MaulChief Medical Officer · (719) 306-2821
Enumeration DateJuly 9, 2025
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1720978752 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

Other Names 1

Other NameFremont Correctional Facility

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.

Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212
Clinic/Center (Prison Health)
HIGHWAY 50 EAST & EVANS BLVD
CANON CITY, CO 81212

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 1720978752. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider is also known as Fremont Correctional Facility.

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) 269-5374.

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 with the weekly NPPES data releases published by CMS.