COLORADO DEPARTMENT OF CORRECTIONS

PUEBLO, CO
NPI1235027889
Other NameLAVISTA CORRECTIONAL FACILITY
Entity TypeOrganization
Authorized ContactRANDOLPH MAUL
Chief Medical Officer
719-306-2821
Organization Subpart ?Yes
Primary Taxonomy261QP2400X Clinic/Center, Prison Health
Enumeration Date2025-06-24
Last Update Date2025-07-14
Business Address
COLORADO DEPARTMENT OF CORRECTIONS
1401 W 17TH ST
PUEBLO, CO 81003-1929
Phone number: 719-583-5851
Mailing Address
COLORADO DEPARTMENT OF CORRECTIONS
PO BOX 3 LVCF MEDICAL
PUEBLO, CO 81002
Phone number: 719-583-5851