OrganizationActive
Granger Medical Clinic PC
NPI 1356425672 · Specialist · Salt Lake City, UT
Granger Medical Clinic PC is a Specialist organization in Salt Lake City, UT (NPI 1356425672).
Provider details
- NPI number
- 1356425672
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mary Jane Pennington, Board Member(801) 965-3600
- License
- 164813-1205 (UT)
Specialties & taxonomies
Other Service Providers
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
348 E 4500 S
Suite 200
Salt Lake City, UT 84107-3906
Phone: (801) 262-9800
Fax: (801) 262-8300
Street-level locationGet directions
Mailing address
3725 W 4100 S
West Valley City, UT 84120-5530
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2015-12-10
Frequently asked questions
- What is Granger Medical Clinic PC's NPI number?
- Granger Medical Clinic PC's National Provider Identifier (NPI) is 1356425672, 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 Specialist (Other Service Providers).
- Where is Granger Medical Clinic PC located?
- Granger Medical Clinic PC's practice location on file with NPPES is 348 E 4500 S, Salt Lake City, 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) 262-9800.
- 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, Board Member. 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 (1356425672) is active in the NPPES registry as of the last update on 2015-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.