Utah State Department of Corrections
NPI #1376336933 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1376336933
- Entity Type
- Organization
- Organization Name
- Utah State Department of Corrections
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF UTAH
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- May 27, 2025
- Last Updated
- May 27, 2025
Practice Location
- Address
- 1480 N 8000 W
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84116-3961
- Phone
- (801) 522-7000
Authorized Official
- Name
- JEFF MOTTISHAW
- Title
- FINANCE DIRECTOR
- Phone
- (385) 346-7348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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