OrganizationActive
State of Utah
NPI 1982429528 · Prison Health Clinic/Center · Slc, UT
State of Utah is a Prison Health Clinic/Center organization in Slc, UT (NPI 1982429528).
Provider details
- NPI number
- 1982429528
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- State of Utah
- Organization subpart
- Yes
- Authorized official
- Brett Petersen, Division Director(801) 538-4330
Practice location
195 N 1950 W
Slc, UT 84116-3100
Phone: (801) 538-4330
Street-level locationGet directions
Mailing address
195 N 1950 W
Slc, UT 84116-3100
Registry dates
- Enumerated
- 2024-11-19
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.