NPIMap

Organization Active NPI

Colorado Department of Corrections

  • Prison Health Clinic/Center
  • Rifle, CO
National Provider Identifier
1528956166
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
200 County Road 219
Rifle, CO 81650-9500
Phone
(970) 625-7571
Fax
(970) 625-7565
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 NU Primary

Addresses

Primary practice location

200 County Road 219
Rifle, CO 81650-9500

Mailing address

200 County Road 219
Rifle, CO 81650-9500
Phone (970) 625-7571

Other names 1

  • Rifle Correctional Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Fort Lyon Correctional Facility103 organizations share this tax ID, including this one
Part of
Fort Lyon Correctional Facility

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

200 County Road 219
Rifle, CO 81650
Phone (970) 625-7571

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": "1528956166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COUNTY ROAD 219",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816509500",
            "telephone_number": "970-625-7571",
            "fax_number": "970-625-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTY ROAD 219",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816509500",
            "telephone_number": "970-625-7571",
            "fax_number": "970-625-7565"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rifle Correctional Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rifle, 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.