Organization · Type 2 NPI
Fort Lyon Correctional Facility
Clinic/Center · Fort Lyon, CO
NPI number
1629132121
Active
Practice location
30999 County Rd 15
Fort Lyon, CO 81038
Mailing address
2862 S Circle Dr
Colorado Springs, CO 80906-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1629132121
Fort Lyon Correctional Facility's National Provider Identifier is 1629132121, issued on Dec 20, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Lyon, CO. The record was last updated on Aug 22, 2020.