Granger Medical Clinic PC
NPI 1184657041ActiveOrganization· Clinic/Center, Multi-Specialty· West Valley City, UT
Clinic/Center, Multi-Specialty in West Valley City, Utah, registered in NPPES in July 2006. The authorized official on file is Mary Jane Pennington, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184657041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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