Granger Medical Specialists LLC
NPI 1104567882 · Multi-Specialty Clinic/Center · Riverton, UT
Granger Medical Specialists LLC is a Multi-Specialty Clinic/Center organization in Riverton, UT (NPI 1104567882).
Provider details
- NPI number
- 1104567882
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Granger Medical Specialists LLC
- Organization subpart
- Yes
- Authorized official
- Mary Jane Pennington, President/Ceo(801) 965-3600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Granger Medical Specialists LLC's NPI number?
- Granger Medical Specialists LLC's National Provider Identifier (NPI) is 1104567882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granger Medical Specialists LLC?
- Granger Medical Specialists LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Granger Medical Specialists LLC located?
- Granger Medical Specialists LLC's practice location on file with NPPES is 12391 S 4000 W, Riverton, UT 84096-7012.
- What is Granger Medical Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Granger Medical Specialists LLC is (801) 302-1700.
- Who is the authorized official for Granger Medical Specialists LLC?
- The authorized official listed on Granger Medical Specialists LLC's NPPES record is Mary Jane Pennington, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granger Medical Specialists LLC's NPI active?
- Yes — Granger Medical Specialists LLC's NPI (1104567882) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.