GRANGER MEDICAL RIVERTON
NPI 1881797876
Clinic/Center - Multi-Specialty in Riverton, UT

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

The NPI number for Granger Medical Clinic Inc is 1881797876. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Granger Medical Riverton.

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

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

Active since September 06, 2006

12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700(801) 302-1714 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Granger Medical Riverton NPPES

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

GRANGER MEDICAL RIVERTON (NPI 1881797876) is a healthcare organization registered as a multi-specialty in Riverton, Utah and active in the NPI registry since September 2006. The organization lists Mary Jane Pennington, President, as its authorized official.

NPPES Registry Identity

NPI1881797876

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameGRANGER MEDICAL CLINIC INC

Location Address12391 S 4000 WRiverton, UT 84096-7012

Mailing Address12391 S 4000 WRiverton, UT 84096-7012 · (801) 302-1700 · Fax (801) 302-1714

Phone(801) 302-1700

Fax(801) 302-1714

Organization SubpartYes

Authorized OfficialMary Jane PenningtonPresident · (801) 965-3417

Enumeration DateSeptember 6, 2006

Last NPPES UpdateMay 13, 2013

✔ NPI 1881797876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPodiatristTaxonomy 213E00000X

12391 S 4000 W, Riverton, UT 84096

Open in Google Maps ↗

Other Names 1

Doing Business AsGranger Medical Riverton

Other Identifiers 2

Medicare NSC0977270002UT

Medicare PIN000004880UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DR. MONICA CHILD WONNACOTT M.D.

Pediatrics

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 302-1700

CHRISTOPHER J. JOLLES MD, PC

Specialist

12391 S 4000 W, STE 208
RIVERTON, UT 84096

Salt Lake County (801) 302-5360

APEX FAMILY & COSMETIC DENTISTRY

Dentist (General Practice)

12391 S 4000 W, SUITE 206
RIVERTON, UT 84096

Salt Lake County (801) 748-0379

MR. ADAM CODY CHRISTIANSEN PA-C

Physician Assistant

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 302-1700

MR. BRAD ROBERT PULSIPHER MSN-FNP

Nurse Practitioner (Primary Care)

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 302-1700

AUBREY ROCHELLE GEORGE FNP-C

Nurse Practitioner (Family)

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 302-1700

GRANGER MEDICAL SPECIALISTS LLC

Clinic/Center (Multi-Specialty)

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 302-1700

GARRETT KORDSIEMON PA-C

Physician Assistant (Medical)

12391 S 4000 W
RIVERTON, UT 84096

Salt Lake County (801) 965-3600

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 Inc's NPI number?

The NPI number for Granger Medical Clinic Inc is 1881797876. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Granger Medical Riverton.

Where is Granger Medical Clinic Inc located?

Granger Medical Clinic Inc is located at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.

What is Granger Medical Clinic Inc's specialty?

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

What insurance does Granger Medical Clinic Inc accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Granger Medical Clinic Inc 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 Inc was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.