| Colorado Department Of Corrections | |
|
1250 Academy Park Loop Colorado Springs CO 80910-3708 | |
| (719) 226-4511 | |
| Not Available |
| Full Name | Colorado Department Of Corrections |
|---|---|
| Speciality | Clinic/center |
| Location | 1250 Academy Park Loop, Colorado Springs, Colorado |
| Authorized Official Name and Position | Wiliam Redmond Frost (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7192264511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Department Of Corrections 1250 Academy Park Loop Colorado Springs CO 80910-3708 Ph: (719) 226-4511 | Colorado Department Of Corrections 1250 Academy Park Loop Colorado Springs CO 80910-3708 Ph: (719) 226-4511 |
| NPI Number | 1255831665 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255831665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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