Organization
GRANGER MEDICAL CLINIC PC
Active
Organization
GRANGER MEDICAL CLINIC PC
Active
Parent organization
GRANGER MEDICAL CLINIC PC
Other names
Granger Medical West Jordan
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANGER MEDICAL CLINIC PC
Authorized official
MARY JANE PENNINGTON MD (PRESIDENT)
(801) 965-3600
Entity
Organization
Contact information
Practice address
3181 W 9000 SO, WEST JORDAN, UT 84088
(801) 352-5900
(801) 352-5914
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
09/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up