NPIMap

Granger Medical Clinic PC

A Medicare group practice based in Salt Lake City, UT: 13 NPIs enrolled under one PECOS associate control ID (PAC ID 3476465691), with 240 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476465691The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
3
Group size
192 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 12 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100930071545 UT DME Supplier - Physician - General Practice 1104857549
O20031105000159 UT Part B Supplier - Clinic/Group Practice 1184657041
O20251118002549 UT DME Supplier - Multi-Specialty - Physician 1871320028

NPIs in this group 13

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 240

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (239) or whom Care Compare lists as members (192).

Sources for this page