Granger Medical Clinic PC
NPI 1184657041 · Multi-Specialty Clinic/Center · West Valley City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Granger Medical Clinic PC is a Multi-Specialty Clinic/Center organization in West Valley City, UT (NPI 1184657041).
Provider details
- NPI number
- 1184657041
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Jane Pennington, President(801) 965-3417
Specialties & taxonomies
Ambulatory Health Care Facilities
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Profile Score
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
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
Mailing address
Additional practice locations (1)
- 12391 S 4000 WRiverton, UT 84096-7012Phone: (801) 302-1700
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Frequently asked questions
- What is Granger Medical Clinic PC's NPI number?
- Granger Medical Clinic PC's National Provider Identifier (NPI) is 1184657041, 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 Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Granger Medical Clinic PC located?
- Granger Medical Clinic PC's practice location on file with NPPES is 2965 W. 3500 S., West Valley City, UT 84119.
- 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.
- Does Granger Medical Clinic PC accept Medicare?
- Granger Medical Clinic PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Granger Medical Clinic PC?
- The authorized official listed on Granger Medical Clinic PC's NPPES record is Mary Jane Pennington, President. 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 (1184657041) is active in the NPPES registry as of the last update on 2023-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.