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Organization

STATE OF UTAH, DEPARTMENT OF HEALTH

Active
Parent organization
UTAH STATE DEPARTMENT OF CORRECTIONS
Other names
Correctional Health Services (CHS)
Organization subpart
Yes

Provider details

NPI number
Legal business name
UTAH STATE DEPARTMENT OF CORRECTIONS
Authorized official
TREVOR A COOMBS (ACCOUNTANT / CHS FINANCE DIRECTOR)
(385) 622-3094
Entity
Organization

Contact information

Practice address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7293
Mailing address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7293

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
9145099-1206
UT

Other

Enumeration date
09/15/2014
Last updated
09/09/2025
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