Granger Medical Clinic PC
NPI 1174968051ActiveOrganization· Family Medicine· Draper, UT
Family Medicine in Draper, Utah, registered in NPPES in May 2013, part of Granger Medical Clinic PC. The authorized official on file is Mary Jane Pennington, President.
Overview
| NPI | 1174968051 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Granger Medical Clinic PC |
| NPI issued | May 6, 2013 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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