OrganizationActive
Granger Medical Clinic PC
NPI 1104857549 · Multi-Specialty Clinic/Center · West Jordan, UT
Provider details
- NPI number
- 1104857549
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Granger Medical Clinic PC
- Organization subpart
- Yes
- Authorized official
- Mary Jane Pennington, President(801) 965-3600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3181 W 9000 So
West Jordan, UT 84088
Phone: (801) 352-5900
Fax: (801) 352-5914
Street-level locationGet directions
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Other names (DBA / former)
- Doing business as
- Granger Medical West Jordan
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2025-09-02
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.