# COLORADO DEPARTMENT OF CORRECTIONS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF COLORADO
- **Other names:** Limon Correctional Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386196665
- **Legal business name:** STATE OF COLORADO
- **Authorized official:** DR. RANDOLPH MAUL MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (719) 306-2821

## Contact information

- **Practice address:** 49030 STATE HWY 71, LIMON, CO 80826-0001
- **Practice address phone:** (719) 775-7653
- **Practice address fax:** (719) 775-7651
- **Mailing address:** 49030 STATE HWY 71, LIMON, CO 80826-0001
- **Mailing address phone:** (719) 775-7653
- **Mailing address fax:** (719) 775-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |
| 305S00000X | Point of Service | DEN.00104436 | CO | — |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 06/24/2025