ACADIA HEALTH CLINIC, LLC – NPI #1679645691
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

ACADIA HEALTH CLINIC, LLC is a provider located in PEORIA, AZ. NPPES has assigned the NPI number 1679645691 to ACADIA HEALTH CLINIC, LLC on November 14, 2006. 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 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 19 years ago on Oct 26, 2007. 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 ACADIA HEALTH CLINIC, LLC below.

NPI Profile for
ACADIA HEALTH CLINIC, LLC

NPI Number
1679645691
Enumeration Date

(more than 19 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
ACADIA HEALTH CLINIC, LLC
Primary location
13260 N 94TH DR
SUITE 205
PEORIA, AZ 85381-4240
Phone: (623) 583-6570 Fax: (623) 583-6571
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM HAAS
ADMINISTRATOR
Phone: (623) 583-6570
Updated
Identifiers

Identifiers for ACADIA HEALTH CLINIC, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE ID-PINAZZ76994
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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine
AZ 2420
171100000X
- Acupuncturist
AZ 0520
111N00000X
- Chiropractor
AZ 7394

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.