COLORADO DEPARTMENT OF CORRECTIONS NPI 1669530192

NPI Information

NPI: 1669530192
Provider Name: COLORADO DEPARTMENT OF CORRECTIONS

Doing Business As: SAN CARLOS CORRECTIONAL FACILITY

Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

Address:
1410 W 13TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 583-5559
Get Directions

COLORADO DEPARTMENT OF CORRECTIONS is a prison health clinic center in Pueblo, CO. COLORADO DEPARTMENT OF CORRECTIONS NPI is 1669530192. The provider is registered as an organization entity type.
The provider Is Doing Business As San Carlos Correctional Facility.

The provider's business location address is:

1410 W 13TH ST
PUEBLO, CO
ZIP 81003-961
Phone: (719) 583-5559
Fax: (719) 583-5525

The provider's authorized official is Donald R Lawson .
The authorized official title is Physician's Assistant and has the following contact phone number (719) 583-5559.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2400X	Clinic/Center	Prison Health	391	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »