OrganizationActive
Utah State Department of Corrections
NPI 1376336933 · Prison Health Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1376336933
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Utah
- Organization subpart
- Yes
- Authorized official
- Jeff Mottishaw, Finance Director(385) 346-7348
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1480 N 8000 W
Salt Lake City, UT 84116-3961
Phone: (801) 522-7000
Approximate (ZIP-level) locationGet directions
Mailing address
14717 S Minuteman Dr
Draper, UT 84020-9549
Other names (DBA / former)
- Doing business as
- Utah State Department of Corrections
Additional practice locations (1)
- 255 E 300 NGunnison, UT 84634-7738Phone: (435) 528-6000
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.