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GRANGER MEDICAL CLINIC PC NPI 1093330698


NPI Information

NPI: 1093330698
Provider Name: GRANGER MEDICAL CLINIC, PC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 46D1027928

Address:
5323 S WOODROW ST STE 203
MURRAY, UT
ZIP 84107
Phone: (801) 266-8664
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GRANGER MEDICAL CLINIC, PC is a non pharmacy dispensing site in Murray, UT. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GRANGER MEDICAL CLINIC, PC NPI is 1093330698. The provider is registered as an organization entity type.

The provider's business location address is:

5323 S WOODROW ST STE 203
MURRAY, UT
ZIP 84107-851
Phone: (801) 266-8664
Fax: (801) 264-9031

The provider's authorized official is Anne Whitaker .
The authorized official title is Credentialing Coordinator and has the following contact phone number (801) 965-3505.

The CLIA number assigned to this NPI record is 46D1027928 - other practitioner with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.