Granger Medical Clinic Pc

LBN: Granger Medical Clinic Pc
Granger Medical Clinic Pc is an health care organization with primary practice located at 9001 S 3200 W , West Jordan UT 84088-9621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Granger Medical Clinic Pc can be contacted via phone (801) 569-5520, or through Pennington, Mary Jane via phone (801) 965-3600.

Contact Information

Primary practice address
9001 S 3200 W West Jordan UT 84088-9621
Phone: (801) 569-5520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Mary Jane Doctor of Medicine (MD)
Phone: (801) 965-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1871225441
LBN Legal business name Granger Medical Clinic Pc
DBA Doing business as
Authorized official Pennington, Mary Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2022
Last updated Jun 30th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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