NPIMap

Organization Active NPI

Utah State Department of Corrections

  • Prison Health Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1376336933
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
UTAH STATE DEPARTMENT OF CORRECTIONS
Doing business as
Utah State Department of Corrections
Practice address
1480 N 8000 W
Salt Lake City, UT 84116-3961
Phone
(801) 522-7000
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF UTAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Mottishaw
Title
Finance Director
Phone
(385) 346-7348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

1480 N 8000 W
Salt Lake City, UT 84116-3961

Mailing address

14717 S Minuteman Dr
Draper, UT 84020-9549
Phone (801) 545-5525

Other practice location 1

255 E 300 N
Gunnison, UT 84634-7738
Phone (435) 528-6000

Other names 1

  • Utah State Department of Corrections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Utah's Children's Justice Center Program28 organizations share this tax ID, including this one
Part of
Utah's Children's Justice Center Program

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

14717 S Minuteman Dr
Draper, UT 84020
Phone (435) 835-8293

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1376336933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14717 S MINUTEMAN DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209549",
            "telephone_number": "801-545-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N 8000 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163961",
            "telephone_number": "801-522-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E 300 N",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "UT",
            "postal_code": "846347738",
            "country_code": "US",
            "telephone_number": "435-528-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTAH STATE DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF UTAH",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MOTTISHAW",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "385-346-7348"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah State Department of Corrections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.