GRANGER MEDICAL CLINIC PC NPI 1184657041

NPI Information

  • NPI: 1184657041
  • Provider Name: GRANGER MEDICAL CLINIC PC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 2965 W. 3500 S.
    WEST VALLEY CITY, UT
    ZIP 84119
  • Phone: (801) 965-3600

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NPI Details

GRANGER MEDICAL CLINIC PC is a multi-specialty clinic center in West Valley City, UT. GRANGER MEDICAL CLINIC PC NPI is 1184657041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2965 W. 3500 S.
WEST VALLEY CITY, UT
ZIP 84119
Phone: (801) 965-3600

The provider's authorized official is Mary Jane Pennington .
The authorized official title is President and has the following contact phone number (801) 965-3417.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryNo
2207Y00000XOtolaryngologyNo
3208100000XPhysical Medicine & RehabilitationNo
42082S0105XPlastic SurgerySurgery of the HandNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6208000000XPediatricsNo
7207R00000XInternal MedicineNo
8207RG0100XInternal MedicineGastroenterologyNo
9207V00000XObstetrics & GynecologyNo
10207Q00000XFamily MedicineNo
11208600000XSurgeryNo
12261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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