Organization
UTAH STATE DEPARTMENT OF CORRECTIONS
Active
Parent organization
STATE OF UTAH
Other names
Utah State Department of Corrections
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF UTAH
Authorized official
JEFF MOTTISHAW (FINANCE DIRECTOR)
(385) 346-7348
Entity
Organization
Contact information
Practice address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7000
Mailing address
14717 S MINUTEMAN DR, DRAPER, UT 84020-9549
(801) 545-5525
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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