Organization · Type 2 NPI
Utah State Department of Corrections
Prison Health Clinic/Center · Salt Lake City, UT
NPI number
1376336933
Active
Practice location
1480 N 8000 W
Salt Lake City, UT 84116-3961
Mailing address
14717 S Minuteman Dr
Draper, UT 84020-9549
Other practice locations
- 255 E 300 N, Gunnison, UT 84634-7738 · (435) 528-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | None listed |
Prison Health Clinic/Center: Definition to come...
8 other providers at this address
- State of Utah, Department of HealthPrison Health Clinic/Center Salt Lake City, UT NPI 1770984379
- Andrea Michelle Bowles, NPPsychiatric/Mental Health Nurse Practitioner Salt Lake City, UT NPI 1225616519
- Christina Eleni Malters, PA-C, CMHC, LASUDCPhysician Assistant Salt Lake City, UT NPI 1780071365
- Jamison Lane CreekmoreMedical Physician Assistant Salt Lake City, UT NPI 1871294215
- Jennie Ann Cordingley, PA-CPhysician Assistant Salt Lake City, UT NPI 1336848662
- Jody Ward Palmer, PMHNPPsychiatric/Mental Health Nurse Practitioner Salt Lake City, UT NPI 1841104619
- Kim James Michelson, DDSGeneral Practice Dentistry Salt Lake City, UT NPI 1568483717
- Stephanie Vranes Ringwood Ney, PA-CMedical Physician Assistant Salt Lake City, UT NPI 1912634825
Other prison health clinic/center providers in Salt Lake City
About NPI 1376336933
Utah State Department of Corrections's National Provider Identifier is 1376336933, issued on May 27, 2025. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Salt Lake City, UT. The record was last updated on May 27, 2025.