GRANGER MEDICAL PARK CITY
NPI 1699050823
Clinic/Center - Multi-Specialty in West Jordan, UT

Active since October 19, 2011
3181 W 9000 SO, WEST JORDAN, UT 84088(801) 569-5520(801) 352-5951 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Granger Medical Park City NPPES

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

GRANGER MEDICAL PARK CITY (NPI 1699050823) is a healthcare organization registered as a multi-specialty in West Jordan, Utah and active in the NPI registry since October 2011. The organization lists Mary Jane Pennington, President, as its authorized official.

NPPES Registry Identity

NPI1699050823
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGRANGER MEDICAL PARK CITY
Location Address3181 W 9000 SOWest Jordan, UT 84088
Mailing Address1600 Snow Creek Dr Ste BPark City, UT 84060-7372 · (801) 569-5520 · Fax (801) 352-5951
Fax(801) 352-5951
Organization SubpartYesParent: Granger Medical Clinic Inc
Authorized OfficialMary Jane PenningtonPresident · (801) 965-3600
Enumeration DateOctober 19, 2011
Last NPPES UpdateMay 13, 2013
NPI 1699050823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3181 W 9000 SO, West Jordan, UT 84088

Other Identifiers 1

Medicare PIN000004880UT

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
3181 W 9000 SO
WEST JORDAN, UT 84088
Internal Medicine (Pulmonary Disease)
3181 W 9000 SO
WEST JORDAN, UT 84088

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 Park City's NPI number?

The NPI number for Granger Medical Park City is 1699050823. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Granger Medical Park City located?

Granger Medical Park City is located at 3181 W 9000 So, West Jordan, UT 84088. The listed phone number is (801) 569-5520.

What is Granger Medical Park City's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Granger Medical Park City was last updated on May 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.