Colorado Department of Corrections
NPI 1033430442ActiveOrganization· Exclusive Provider Organization· Pueblo, CO
Exclusive Provider Organization in Pueblo, Colorado, registered in NPPES in June 2010. The authorized official on file is Joanie Shoemaker, Director Of Clinical Services.
Overview
| NPI | 1033430442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2010 |
| Last updated in NPPES | Jun 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 19512 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Pueblo
- 1063500544