Granger Medical Clinic, Inc.
NPI 1629163746 · Internal Medicine Physician · Salt Lake City, UT
Granger Medical Clinic, Inc. is a Internal Medicine Physician organization in Salt Lake City, UT (NPI 1629163746).
Provider details
- NPI number
- 1629163746
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Granger Medical Clinic, Inc.
- Organization subpart
- Yes
- Authorized official
- Anne Whitaker, Credentialing Coordinator(801) 965-3505
- License
- 870526286 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
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
Other names (DBA / former)
- Doing business as
- Granger Medical Clinic - Wasatch
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2016-08-16
Frequently asked questions
- What is Granger Medical Clinic, Inc.'s NPI number?
- Granger Medical Clinic, Inc.'s National Provider Identifier (NPI) is 1629163746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granger Medical Clinic, Inc.?
- Granger Medical Clinic, Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Granger Medical Clinic, Inc. located?
- Granger Medical Clinic, Inc.'s practice location on file with NPPES is 1160 E 3900 S, Salt Lake City, UT 84124-1202.
- What is Granger Medical Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Granger Medical Clinic, Inc. is (801) 262-1771.
- Who is the authorized official for Granger Medical Clinic, Inc.?
- The authorized official listed on Granger Medical Clinic, Inc.'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, Inc.'s NPI active?
- Yes — Granger Medical Clinic, Inc.'s NPI (1629163746) is active in the NPPES registry as of the last update on 2016-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.