OrganizationActive
State of Utah
NPI 1982429528 · Prison Health Clinic/Center · Slc, UT
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
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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
Other names (DBA / former)
- Doing business as
- Juvenile Justice and Youth Services
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.