Organization · Type 2 NPI
Colorado Department of Corrections
Prison Health Clinic/Center · Pueblo, CO
NPI number
1235027889
Active
Practice location
1401 W 17th St
Pueblo, CO 81003-1929
Fax (719) 583-5852
Mailing address
PO Box 3, Lvcf Medical
Pueblo, CO 81002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
2 other providers at this address
Other prison health clinic/center providers in Pueblo
About NPI 1235027889
Colorado Department of Corrections's National Provider Identifier is 1235027889, issued on Jun 24, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Pueblo, CO. The record was last updated on Jul 14, 2025.