Granger Medical Riverton
LBN: Granger Medical Clinic Inc
Granger Medical Riverton is an health care organization with primary practice located at 12391 S 4000 W , Riverton UT 84096-7012. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Granger Medical Clinic Inc can be contacted via phone (801) 302-1700, or through Pennington, Mary Jane via phone (801) 965-3417.
Contact Information
Primary practice address
12391 S 4000 W
Riverton UT 84096-7012
Phone: (801) 302-1700
Fax: (801) 302-1714
Website:
Authorized official contact:
Name: Pennington, Mary Jane Doctor of Medicine (MD)
Phone: (801) 965-3417
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1881797876 |
|---|---|
| LBN Legal business name | Granger Medical Clinic Inc |
| DBA Doing business as | Granger Medical Riverton |
| Authorized official | Pennington, Mary Jane Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | May 13th, 2013 - about 13 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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