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Organization
COLORADO DEPARTMENT OF CORRECTIONS
Active
Organization
COLORADO DEPARTMENT OF CORRECTIONS
Active
Parent organization
STATE OF COLORADO
Other names
Limon Correctional Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF COLORADO
Authorized official
DR. RANDOLPH MAUL MD (CHIEF MEDICAL OFFICER)
(719) 306-2821
Entity
Organization
Contact information
Practice address
49030 STATE HWY 71, LIMON, CO 80826-0001
(719) 775-7653
(719) 775-7651
Mailing address
49030 STATE HWY 71, LIMON, CO 80826-0001
(719) 775-7653
(719) 775-7651
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
305S00000X
Point of Service
DEN.00104436
CO
Other
Enumeration date
11/02/2016
Last updated
06/24/2025
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