Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colorado Department of Corrections

Organization Prison Health Clinic/Center · NPI 1558251504

Colorado Department of Corrections provides Prison Health Clinic/Center services in Model, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

21000 Highway 350 East Tcf Medical
Model, CO 81059
Phone: (719) 845-3241
Fax: (719) 845-3255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prison Health Clinic/Center (primary) Taxonomy 261QP2400X

Record details

NPI number1558251504
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Colorado
Authorized official Randolph Maul — Chief Medical Officer · (719) 306-2821
Other names Trinidad Correctional Facility
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address21000 Highway 350 East, Tcf Medical, Model, CO 81059