# COLO STATE DEPT OF C ORRECTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720148935
- **Authorized official:** CARY SHAMES (MCO)
- **Authorized official phone:** (303) 307-2600

## Contact information

- **Practice address:** 3600 HAVANA, DENVER, CO 80236
- **Practice address phone:** (303) 307-2600
- **Mailing address:** 3600 HAVANA ST, DENVER, CO 80239-3266
- **Mailing address phone:** (303) 307-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1380 | CO | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020