GRANGER MEDICAL CLINIC PC – Multi-Specialty Clinic/Center, NPI 1184657041

GRANGER MEDICAL CLINIC PC is a healthcare provider. based in West valley, Utah. specializing in Multi-Specialty Clinic/Center. The NPI Number for GRANGER MEDICAL CLINIC PC is 1184657041

Main info

Organization
Name
GRANGER MEDICAL CLINIC PC
NPI
1184657041
Phone
(801) 965-3617
Address
PO BOX 70658
Authorized Official
DR. MARY JANE PENNINGTON PRESIDENT M.D.
Enumeration Date
7 July 2006
Last Update Date
13 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for GRANGER MEDICAL CLINIC PC

  • PO BOX 70658

    WEST VALLEY, UT 841700658

    Phone: (801) 965-3617

    Fax: (801) 965-3526

    Type: Mailing

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

  • 12391 S 4000 W

    Riverton, UT 840967012

    Phone: (801) 302-1700

    Type: Location

  • 7181 S CAMPUS VIEW DR STE 200

    WEST JORDAN, UT 840844312

    Phone: (801) 965-3617

    Fax: (801) 965-3526

    Type: Mailing

  • 3500 South, West Valley City, Salt Lake County, Utah, 84119, United States

    WEST VALLEY CITY, UT 84119

    Phone: (801) 965-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-05

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84170)

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Reviews

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Frequently asked questions

How is GRANGER MEDICAL CLINIC PC identified in CMS data?
CMS-hosted NPPES data lists GRANGER MEDICAL CLINIC PC with NPI 1184657041.
Is GRANGER MEDICAL CLINIC PC listed as active for patients and plans?
The listing shows GRANGER MEDICAL CLINIC PC as active in the NPI system.
What is GRANGER MEDICAL CLINIC PC's specialty?
The listing groups GRANGER MEDICAL CLINIC PC with Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Does GRANGER MEDICAL CLINIC PC list a practice location?
Patients near West Valley, Utah may find GRANGER MEDICAL CLINIC PC in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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