GRANGER MEDICAL RIVERTON
NPI 1881797876
Clinic/Center - Multi-Specialty in Riverton, UT
NPI Status: Active since September 06, 2006
Contact Information
12391 S 4000 W
RIVERTON, UT
ZIP 84096
Phone: (801) 302-1700
Fax: (801) 302-1714
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
About GRANGER MEDICAL RIVERTON
This page provides the complete NPI Profile along with additional information for Granger Medical Riverton, a provider established in Riverton, Utah operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1881797876 assigned on September 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Granger Medical Riverton operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Granger Medical Riverton. The authorized official of this NPI record is Dr. Mary Jane Pennington Md (President)
- NPI
- 1881797876
- Provider Legal Name
- GRANGER MEDICAL CLINIC INC
- Other Organization Name
- GRANGER MEDICAL RIVERTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12391 S 4000 W RIVERTON, UT 84096
- Location Phone
- (801) 302-1700
- Location Fax
- (801) 302-1714
- Mailing Address
- 12391 S 4000 W RIVERTON, UT 84096
- Mailing Phone
- (801) 302-1700
- Mailing Fax
- (801) 302-1714
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-06-2006
- Last Update Date
- 05-13-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0977270002 | MEDICARE NSC (07) | UT | |
| 000004880 | MEDICARE PIN (08) | UT |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1881797876, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERTON, UT 84096
RIVERTON, UT 84096
RIVERTON, UT 84096
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881797876, enumerated as an "organization" on September 06, 2006.
The provider is located at 12391 S 4000 W RIVERTON, UT 84096 and the phone number is (801) 302-1700.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.
