NPIMap

Organization Active NPI

Colorado Department of Corrections

  • Prison Health Clinic/Center
  • Ordway, CO
National Provider Identifier
1154219806
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COLORADO DEPARTMENT OF CORRECTIONS
Practice address
12750 Hwy 96 at Lane 13
Avcf Medical
Ordway, CO 81034
Phone
(719) 267-5085
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Randolph Maul, MD
Title
Chief Medical Officer
Phone
(719) 306-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

12750 Hwy 96 at Lane 13
Avcf Medical
Ordway, CO 81034

Mailing address

12750 Hwy 96 at Lane 13
Avcf Medical
Ordway, CO 81034
Phone (719) 267-5085

Other names 1

  • Arkansas Valley Correctional Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
State of Colorado Department of Public Health and Environment103 organizations share this tax ID, including this one
Part of
State of Colorado Department of Public Health and Environment

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

12750 Hwy 96 At Ln 13
Ordway, CO 81034
Phone (719) 267-3520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1154219806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 HWY 96 AT LANE 13",
            "address_2": "AVCF MEDICAL",
            "city": "ORDWAY",
            "state": "CO",
            "postal_code": "81034",
            "telephone_number": "719-267-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 HWY 96 AT LANE 13",
            "address_2": "AVCF MEDICAL",
            "city": "ORDWAY",
            "state": "CO",
            "postal_code": "81034",
            "telephone_number": "719-267-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF COLORADO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "MAUL",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "719-306-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Valley Correctional Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ordway, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.