Organization · Type 2 NPI
Colorado Department of Corrections
Prison Health Clinic/Center · Pueblo, CO
NPI number
1669530192
Active
Practice location
1410 W 13th St
Pueblo, CO 81003-1961
Fax (719) 583-5560
Mailing address
PO Box 3, Sccf Medical
Pueblo, CO 81002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 391 (CO) |
Prison Health Clinic/Center: Definition to come...
4 other providers at this address
- Colorado Department of CorrectionsExclusive Provider Organization Pueblo, CO NPI 1033430442
- Joan Koprivnikar, MDForensic Psychiatry Physician Pueblo, CO NPI 1205004421
- Joseph John Wermers, MDGeneral Practice Physician Pueblo, CO NPI 1669783296
- Laura ImmClinical Social Worker Pueblo, CO NPI 1023985397
Other prison health clinic/center providers in Pueblo
About NPI 1669530192
Colorado Department of Corrections's National Provider Identifier is 1669530192, issued on Dec 5, 2006. 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 Jun 24, 2025.