ACQUA MEDICAL LLC
NPI 1427580448
Family Medicine - Addiction Medicine in Midway, UT

NPI Status: Active since March 29, 2017

Contact Information

100 N JOHNSON MILL RD
MIDWAY, UT
ZIP 84049
Phone: (844) 654-3700
Fax: (801) 926-1133

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  • Organization
  • Family Medicine
  • Addiction Medicine

About ACQUA MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Acqua Medical Llc, a provider established in Midway, Utah operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1427580448 assigned on March 2017. The practitioner's primary taxonomy code is 207QA0401X with license number 293281-1205 (UT). The provider is registered as an organization and their NPI record was last updated 8 years ago. Acqua Medical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Clint Tolman (Administrative Director)

NPI
1427580448
Provider Name
ACQUA MEDICAL LLC
Entity Type
Organization
Location Address
100 N JOHNSON MILL RD MIDWAY, UT 84049
Location Phone
(844) 654-3700
Location Fax
(801) 926-1133
Mailing Address
1031 S DOUGLAS ST SALT LAKE CITY, UT 84105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2017
Last Update Date
06-20-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
293281-1205
License State
UT
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLINT TOLMAN

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(844) 654-3700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)UTEIN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427580448, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 0 + 8 + 0 + 4 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1427580448.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Family Medicine (Addiction Medicine)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Counselor (Mental Health)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Counselor (Addiction (Substance Use Disorder))
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Counselor (Addiction (Substance Use Disorder))
100 N JOHNSON MILL RD
MIDWAY, UT 84049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427580448, enumerated as an "organization" on March 29, 2017.

The provider is located at 100 N JOHNSON MILL RD MIDWAY, UT 84049 and the phone number is (844) 654-3700.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.