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Organization

COLORADO DEPARTMENT OF CORRECTIONS

Active
Parent organization
STATE OF COLORADO
Other names
Colorado Territorial 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
275 W US HIGHWAY 50, CANON CITY, CO 81212-6700
(719) 269-4081
(719) 269-4235
Mailing address
PO BOX 1010, CTCF MEDICAL, CANON CITY, CO 81215
(719) 269-4081
(719) 269-4235

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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