GRANGER MEDICAL CLINIC PC
NPI 1356425672
Specialist in Salt Lake City, UT

Q: What is Granger Medical Clinic PC's NPI number?

The NPI number for Granger Medical Clinic PC is 1356425672. It was assigned to this organization in the NPPES registry on October 24, 2006.

Q: What is Granger Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 24, 2006

348 E 4500 S, SUITE 200, SALT LAKE CITY, UT 84107(801) 262-9800(801) 262-8300 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Granger Medical Clinic Pc NPPES

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

GRANGER MEDICAL CLINIC PC (NPI 1356425672) is a healthcare organization registered as a specialist in Salt Lake City, Utah and active in the NPI registry since October 2006. The organization lists Mary Jane Pennington, Board Member, as its authorized official.

NPPES Registry Identity

NPI1356425672

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameGRANGER MEDICAL CLINIC PC

Location Address348 E 4500 S, SUITE 200Salt Lake City, UT 84107-3906

Mailing Address3725 W 4100 SWest Valley City, UT 84120-5530 · (801) 965-3600

Phone(801) 262-9800

Fax(801) 262-8300

Organization SubpartNo

Authorized OfficialMary Jane PenningtonBoard Member · (801) 965-3600

Enumeration DateOctober 24, 2006

Last NPPES UpdateDecember 10, 2015

✔ NPI 1356425672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in UT · 164813-1205

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

348 E 4500 S, Salt Lake City, UT 84107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

GRANGER MEDICAL CLINIC, PC

Non-Pharmacy Dispensing Site

348 E 4500 S
MURRAY, UT 84107

Salt Lake County (801) 965-3600

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

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 1356425672. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Granger Medical Clinic PC located?

Granger Medical Clinic PC is located at 348 E 4500 S Suite 200, Salt Lake City, UT 84107. The listed phone number is (801) 262-9800.

What is Granger Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Granger Medical Clinic PC was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.