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GRANGER MEDICAL CLINIC, PC
NPI 1093330698
Non-Pharmacy Dispensing Site in Murray, UT

Active since June 10, 2020
348 E 4500 S, MURRAY, UT 84107(801) 965-3600 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Jun 10, 2020 (2 updates tracked since 2020).

About Granger Medical Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANGER MEDICAL CLINIC, PC (NPI 1093330698), doing business as Summit Urology Advanced Prostate Cancer Clinic, is a healthcare organization registered as a non-pharmacy dispensing site in Murray, Utah and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Murray and lists Anne Whitaker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093330698
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameGRANGER MEDICAL CLINIC, PC
Location Address348 E 4500 SMurray, UT 84107-3906
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 965-3600
Organization SubpartYes
Authorized OfficialAnne WhitakerCredentialing Coordinator · (801) 965-3505
Enumeration DateJune 10, 2020
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1093330698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
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.)
348 E 4500 S, Murray, UT 84107
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Other Names 1

Doing Business AsSummit Urology Advanced Prostate Cancer Clinic

Secondary Practice Location 1

Location 15323 S Woodrow St Ste 203Murray, UT 84107-5851 · Phone (801) 266-8664 · Fax (801) 264-9031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBIN GAY MAINWARING MD
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 268-8222
FINAL KICK ANKLE AND FOOT CLINIC LLC
Podiatrist (Foot & Ankle Surgery)
348 E 4500 S, SUITE 370
SALT LAKE CITY, UT 84107
Salt Lake County (804) 687-5191
SYNERGIES SURGERY CENTER LP
Clinic/Center (Ambulatory Surgical)
348 E 4500 S, SUITE 230
SALT LAKE CITY, UT 84107
Salt Lake County (801) 685-6400
WASATCH INFUSION SERVICES, INC.
Specialist
348 E 4500 S, SUITE 220
SALT LAKE CITY, UT 84107
Salt Lake County (801) 577-7055
BARBARA HURST M.D.
Obstetrics & Gynecology (Gynecology)
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 262-9800
SHAWN L HAZEN LCSW
Social Worker (Clinical)
348 E 4500 S, STE 360
SALT LAKE CITY, UT 84107
Salt Lake County (385) 272-4292
JADE LUBECK
Social Worker (Clinical)
348 E 4500 S
SALT LAKE CITY, UT 84107
Salt Lake County (801) 971-0446
GRANGER MEDICAL CLINIC PC
Specialist
348 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 262-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granger Medical Clinic, PC's NPI number?

The NPI number for Granger Medical Clinic, PC is 1093330698. It was assigned to this organization in the NPPES registry on June 10, 2020. The provider is doing business as Summit Urology Advanced Prostate Cancer Clinic.

Where is Granger Medical Clinic, PC located?

Granger Medical Clinic, PC is located at 348 E 4500 S, Murray, UT 84107. The listed phone number is (801) 965-3600.

What is Granger Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Granger Medical Clinic, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 36 other insurers list Granger Medical Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Granger Medical Clinic, PC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.