Granger Medical Specialists Llc

LBN: Granger Medical Specialists Llc
Granger Medical Specialists Llc is an health care organization with primary practice located at 96 E Kimballs Ln Ste 304 , Draper UT 84020-5021. 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 Specialists Llc can be contacted via phone (801) 571-9433, or through Pennington, Mary Jane via phone (801) 965-3600.

Contact Information

Primary practice address
96 E Kimballs Ln Ste 304 Draper UT 84020-5021
Phone: (801) 571-9433
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 1174266035
LBN Legal business name Granger Medical Specialists Llc
DBA Doing business as
Authorized official Pennington, Mary Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2022
Last updated Apr 19th, 2022 - about 4 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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