OrganizationActive
Granger Medical Clinic, PC
NPI 1093330698 · Non-Pharmacy Dispensing Site · Murray, UT
Granger Medical Clinic, PC is a Non-Pharmacy Dispensing Site organization in Murray, UT (NPI 1093330698).
Provider details
- NPI number
- 1093330698
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Granger Medical Clinic, PC
- Organization subpart
- Yes
- Authorized official
- Anne Whitaker, Credentialing Coordinator(801) 965-3505
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
348 E 4500 S
Murray, UT 84107-3906
Phone: (801) 965-3600
Street-level locationGet directions
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Other names (DBA / former)
- Doing business as
- Summit Urology Advanced Prostate Cancer Clinic
- Doing business as
- Summit Urology Advanced Prostate Cancer Clinic
Additional practice locations (1)
- 5323 S Woodrow St Ste 203Murray, UT 84107-5851Phone: (801) 266-8664Fax: (801) 264-9031
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Granger Medical Clinic, PC's NPI number?
- Granger Medical Clinic, PC's National Provider Identifier (NPI) is 1093330698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granger Medical Clinic, PC?
- Granger Medical Clinic, PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Granger Medical Clinic, PC located?
- Granger Medical Clinic, PC's practice location on file with NPPES is 348 E 4500 S, Murray, UT 84107-3906.
- What is Granger Medical Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Granger Medical Clinic, PC is (801) 965-3600.
- Who is the authorized official for Granger Medical Clinic, PC?
- The authorized official listed on Granger Medical Clinic, PC's NPPES record is Anne Whitaker, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granger Medical Clinic, PC's NPI active?
- Yes — Granger Medical Clinic, PC's NPI (1093330698) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.