UTAH STATE DEPARTMENT OF CORRECTIONS
NPI 1770984379
Clinic/Center - Prison Health in Draper, UT

NPI Status: Active since September 15, 2014

Contact Information

14425 S BITTERBRUSH LN
DRAPER, UT
ZIP 84020
Phone: (801) 576-7292

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  • Organization
  • Clinic/Center
  • Prison Health

About UTAH STATE DEPARTMENT OF CORRECTIONS

This page provides the complete NPI Profile along with additional information for Utah State Department Of Corrections, a provider established in Draper, Utah operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1770984379 assigned on September 2014. The practitioner's primary taxonomy code is 261QP2400X with license number 9145099-1206 (UT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Richard Garden M.d. (Medical Director)

NPI
1770984379
Provider Name
UTAH STATE DEPARTMENT OF CORRECTIONS
Entity Type
Organization
Location Address
14425 S BITTERBRUSH LN DRAPER, UT 84020
Location Phone
(801) 576-7292
Mailing Address
14425 S BITTERBRUSH LN DRAPER, UT 84020
Mailing Phone
(801) 576-7292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2014
Last Update Date
09-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Prison Health

Taxonomy Code
261QP2400X
Type
Ambulatory Health Care Facilities
License No.
9145099-1206
License State
UT

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD GARDEN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(801) 579-7099

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770984379
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401888314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 8 + 8 + 8 + 3 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1770984379 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124461926 CHAD MICHAEL DUFORD PA-C
Individual
Physician Assistant (Medical)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7292
1952553794 VINESSA KAYE TROTTER PH.D.
Individual
Psychologist (Clinical)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7250
1013336783 AARON DOUGLAS RN
Individual
Registered Nurse (Case Management)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7090
1932592110 CHRISTOPHER ABBOTT
Individual
Physician Assistant14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7101
1275908840 SIDNEY ROBERTS M.D.
Individual
Emergency Medicine14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7290
1932656386 TODD GAY PA-C
Individual
Physician Assistant (Medical)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7000
1952885568 ERIC CIELINSKI PA-C
Individual
Physician Assistant (Medical)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7119
1235637125 MICHAEL SHELEKHOV PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7000
1588133185 CAITLIN JENSEN
Individual
Physician Assistant14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7000
1578172847 LESLIE FORBUSH DNP-FNP
Individual
Nurse Practitioner (Family)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7000
1225430119 JACQUELYN BUTTON
Individual
Counselor (Mental Health)14425 S BITTERBRUSH LN
DRAPER, UT 84020
(801) 576-7939

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770984379, enumerated in the NPI registry as an "organization" on September 15, 2014

The provider is located at 14425 S Bitterbrush Ln Draper, Ut 84020 and the phone number is (801) 576-7292

This medical organization specializes in Clinic/Center with taxonomy code 261QP2400X with a focus in Prison Health

This NPI record was last updated on September 15, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.