ACQUA MEDICAL LLC – NPI #1427580448
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

ACQUA MEDICAL LLC is a provider located in MIDWAY, UT. NPPES has assigned the NPI number 1427580448 to ACQUA MEDICAL LLC on March 29, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Jun 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACQUA MEDICAL LLC below.

NPI Profile for
ACQUA MEDICAL LLC

NPI Number
1427580448
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACQUA MEDICAL LLC
Primary location
100 N JOHNSON MILL RD
MIDWAY, UT 84049-6764
Phone: (844) 654-3700 Fax: (801) 926-1133
Mailing address
1031 S DOUGLAS ST
SALT LAKE CITY, UT 84105-1505
Phone: Fax:
Organization Subpart
No
Authorized Official
CLINT TOLMAN
ADMINISTRATIVE DIRECTOR
Phone: (844) 654-3700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
UT 293281-1205
2084A0401X
- Psychiatry & Neurology / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.