State of Utah, Department of Health
NPI #1770984379 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1770984379
- Entity Type
- Organization
- Organization Name
- State of Utah, Department of Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UTAH STATE DEPARTMENT OF CORRECTIONS
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Sep 15, 2014
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 1480 N 8000 W
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84116-3961
- Phone
- (801) 522-7293
Authorized Official
- Name
- TREVOR A COOMBS
- Title
- ACCOUNTANT / CHS FINANCE DIRECTOR
- Phone
- (385) 622-3094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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