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Granger Medical Clinic PC

Multi-Specialty Clinic/Center in West Valley City, UT · enumerated 2006 · authorized official Mary Jane Pennington, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184657041

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Registry record

Entity type Organization (Type 2)
Legal business name Granger Medical Clinic PC
Practice address 2965 W. 3500 S., West Valley City, UT, 84119
Enumeration date Jul 7, 2006
Last updated in NPPES Dec 13, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2082S0105X Surgery of the Hand (Plastic Surgery) Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mary Jane Pennington
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-13. Verify at npiregistry.cms.hhs.gov.
Where is Granger Medical Clinic PC located?
The practice location on file with NPPES is in West Valley City, UT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-13.