Granger Medical Clinic Inc in West Valley City - Multi-specialty
Granger Medical Clinic Inc - NPI 1104857549
Granger Medical Clinic Inc is a Multi-specialty in West Valley City, Utah. Granger Medical Clinic Inc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Granger Medical Clinic Inc is 1104857549. The last update date is 2013-05-13.
Granger Medical Clinic Inc's current location address is 3725 W 4100 S, West Valley City, Utah. You can contact this provider via phone number 8019653600 and fax number 8019653526. The mailing address for Granger Medical Clinic Inc is 3725 W 4100 S, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granger Medical Clinic Inc |
|---|---|
| Address | 3725 W 4100 S, West Valley City, Utah |
| Phone Number | 8019653600 |
| Fax Number | 8019653526 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pennington Mary Jane |
| Credentials | MD |
| Telephone Number | 8019653600 |
NPI Number Detail
| NPI Number | 1104857549 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2013-05-13 |
Provider Mailing Address Detail
| Address | 3725 W 4100 S |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 84120 |
| Phone Number | 8019653600 |
| Fax Number | 8019653526 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
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Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the unique 10-digit identifier code issued to Granger Medical Clinic Inc by the Centers for Medicare & Medicaid Services?
The Granger Medical Clinic Inc has been assigned the NPI (National Provider Identifier) 1104857549 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Granger Medical Clinic Inc is geographically located?
The Granger Medical Clinic Inc is physically situated at the following location: 3725 W 4100 S, West Valley City, UT, 84120.
What is Granger Medical Clinic Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Granger Medical Clinic Inc is Multi-specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm1300X.
On what date was the 1104857549 assigned to Granger Medical Clinic Inc?
The Granger Medical Clinic Inc was issued its 1104857549 on 2006-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Granger Medical Clinic Inc most recently updated or revised?
The information pertaining to Granger Medical Clinic Inc, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-13.
NPI Number: 1932102142
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