Granger Medical Clinic, Inc. in Salt Lake City - Internal Medicine
Granger Medical Clinic, Inc. - NPI 1629163746
Granger Medical Clinic, Inc. is a Internal Medicine in Salt Lake City, Utah. Granger Medical Clinic, Inc. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Granger Medical Clinic, Inc. is 1629163746. The last update date is 2016-08-16.
Granger Medical Clinic, Inc.'s current location address is 1160 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012621771 and fax number 8012889101. The mailing address for Granger Medical Clinic, Inc. is 1160 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger Medical Clinic, Inc. |
|---|---|
| Address | 1160 E 3900 S, Salt Lake City, Utah |
| Phone Number | 8012621771 |
| Fax Number | 8012889101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Whitaker M Anne |
| Telephone Number | 8019653505 |
NPI Number Detail
| NPI Number | 1629163746 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2016-08-16 |
Provider Mailing Address Detail
| Address | 1160 E 3900 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841241202 |
| Phone Number | 8012621771 |
| Fax Number | 8012889101 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 870526286 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Granger Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Granger Medical Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1629163746. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Granger Medical Clinic, Inc. is located?
The Granger Medical Clinic, Inc. is situated at the following address: 1160 E 3900 S, Salt Lake City, UT, 841241202.
What is the Granger Medical Clinic, Inc.'s specialty and taxonomy code?
The Granger Medical Clinic, Inc.'s specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Granger Medical Clinic, Inc. receive its 1629163746 assignment from the Centers for Medicare & Medicaid Services?
The Granger Medical Clinic, Inc. was assigned its 1629163746 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date was the information regarding Granger Medical Clinic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Granger Medical Clinic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-16.