Organization · Type 2 NPI

Colorado Department of Corrections

Prison Health Clinic/Center · Canon City, CO

NPI number 1104716240 Active

Practice location

Highway 50 East & Evans Blvd
Canon City, CO 81212

Call (719) 569-5644 Map

Fax (719) 269-5656

Mailing address

PO Box 300, Cmc Medical
Canon City, CO 81215

Specialties and licenses

TaxonomyCodeLicense
Prison Health Clinic/Center Primary 261QP2400XNone listed

Prison Health Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1104716240

Colorado Department of Corrections's National Provider Identifier is 1104716240, issued on Jul 9, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Canon City, CO. The record was last updated on Jul 14, 2025.