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UTAH STATE DEPARTMENT OF CORRECTIONS
NPI 1376336933
Clinic/Center - Prison Health in Salt Lake City, UT

Active since May 27, 2025
1480 N 8000 W, SALT LAKE CITY, UT 84116(801) 522-7000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utah State Department Of Corrections NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UTAH STATE DEPARTMENT OF CORRECTIONS (NPI 1376336933) is a healthcare organization registered as a prison health in Salt Lake City, Utah and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Gunnison and lists Jeff Mottishaw, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1376336933
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameUTAH STATE DEPARTMENT OF CORRECTIONS
Location Address1480 N 8000 WSalt Lake City, UT 84116-3961
Mailing Address14717 S Minuteman DrDraper, UT 84020-9549 · (801) 545-5525
Phone(801) 522-7000
Organization SubpartYesParent: State Of Utah
Authorized OfficialJeff MottishawFinance Director · (385) 346-7348
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1376336933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
1480 N 8000 W, Salt Lake City, UT 84116
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Other Names 1

Doing Business AsUtah State Department Of Corrections

Secondary Practice Location 1

Location 1255 E 300 NGunnison, UT 84634-7738 · Phone (435) 528-6000

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA MICHELLE BOWLES NP
Nurse Practitioner (Psychiatric/Mental Health)
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (801) 522-7000
KIM JAMES MICHELSON D.D.S.
Dentist (General Practice)
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (801) 522-7135
STATE OF UTAH, DEPARTMENT OF HEALTH
Clinic/Center (Prison Health)
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (801) 522-7293
CHRISTINA ELENI MALTERS PA-C, CMHC, LASUDC
Physician Assistant
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (801) 522-7000
STEPHANIE VRANES RINGWOOD NEY PA-C
Physician Assistant (Medical)
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (385) 214-7556
JONATHAN TAYLOR APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1480 N 8000 W
SALT LAKE CITY, UT 84116
Salt Lake County (801) 522-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Utah State Department Of Corrections's NPI number?

The NPI number for Utah State Department Of Corrections is 1376336933. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Utah State Department Of Corrections located?

Utah State Department Of Corrections is located at 1480 N 8000 W, Salt Lake City, UT 84116. The listed phone number is (801) 522-7000.

What is Utah State Department Of Corrections's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Utah State Department Of Corrections was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.