Fort Lyon Correctional Facility in Fort Lyon - Clinic/center
Fort Lyon Correctional Facility - NPI 1629132121
Fort Lyon Correctional Facility is a Clinic/center in Fort Lyon, Colorado. Fort Lyon Correctional Facility practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Fort Lyon Correctional Facility is 1629132121. The last update date is 2020-08-22.
Fort Lyon Correctional Facility's current location address is 30999 County Rd 15, Fort Lyon, Colorado. You can contact this provider via phone number 7194563222. The mailing address for Fort Lyon Correctional Facility is 30999 County Rd 15, Fort Lyon, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Lyon Correctional Facility |
|---|---|
| Address | 30999 County Rd 15, Fort Lyon, Colorado |
| Phone Number | 7194563222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Lastrella O. Paul |
| Credentials | M.D. |
| Telephone Number | 7194563222 |
NPI Number Detail
| NPI Number | 1629132121 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30999 County Rd 15 |
|---|---|
| City | Fort Lyon |
| State | Colorado (CO) |
| Post Code | 81038 |
| Phone Number | 7194563222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the Fort Lyon Correctional Facility's 1629132121?
The Fort Lyon Correctional Facility's NPI (National Provider Identifier) Number is 1629132121. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Fort Lyon Correctional Facility is physically located?
The Fort Lyon Correctional Facility is situated at the following address: 30999 County Rd 15, Fort Lyon, CO 81038.
What is Fort Lyon Correctional Facility's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fort Lyon Correctional Facility's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
When was the Fort Lyon Correctional Facility's 1629132121 issued?
The Fort Lyon Correctional Facility's 1629132121 was issued on 2006-12-20.
When was the information related to Fort Lyon Correctional Facility most recently updated or refreshed?
The details pertaining to the Fort Lyon Correctional Facility, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.