Provider Demographics
NPI:1730382755
Name:SALT LAKE COUNTY JAIL
Entity type:Organization
Organization Name:SALT LAKE COUNTY JAIL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SALT LAKE COUNTY MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORROON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-468-2500
Mailing Address - Street 1:2001 S STATE ST
Mailing Address - Street 2:SUITE N4100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84190-1021
Mailing Address - Country:US
Mailing Address - Phone:801-468-2332
Mailing Address - Fax:801-468-3712
Practice Address - Street 1:3415 S 900 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-4103
Practice Address - Country:US
Practice Address - Phone:801-743-5000
Practice Address - Fax:801-743-5587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare