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

Active since March 29, 2017
100 N JOHNSON MILL RD, MIDWAY, UT 84049(844) 654-3700(801) 926-1133 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2018, Mar 29, 2017 (2 updates tracked since 2017).

About Acqua Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACQUA MEDICAL LLC (NPI 1427580448) is a healthcare organization registered as an addiction medicine in Midway, Utah and active in the NPI registry since March 2017. The organization lists Clint Tolman, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1427580448
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameACQUA MEDICAL LLC
Location Address100 N JOHNSON MILL RDMidway, UT 84049-6764
Mailing Address1031 S Douglas StSalt Lake City, UT 84105-1505
Phone(844) 654-3700
Fax(801) 926-1133
Organization SubpartNo
Authorized OfficialClint TolmanAdministrative Director · (844) 654-3700
Enumeration DateMarch 29, 2017
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
✔ NPI 1427580448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in UT · 293281-1205
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
100 N JOHNSON MILL RD, Midway, UT 84049
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GLORIA E ANDERSON LMHC, LCAP, CMHC
Counselor (Mental Health)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Wasatch County (813) 944-0376
DR. TERRELL LEE SELLERS M.D
Family Medicine (Addiction Medicine)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Wasatch County (435) 654-3700
KATHY FELT LCSW
Counselor (Addiction (Substance Use Disorder))
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Wasatch County (801) 867-3880
DAVID PATRICK JAY SUDC
Counselor (Addiction (Substance Use Disorder))
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Wasatch County (866) 400-3640
ACQUA RECOVERY LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
100 N JOHNSON MILL RD
MIDWAY, UT 84049
Wasatch County (954) 678-0078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acqua Medical LLC's NPI number?

The NPI number for Acqua Medical LLC is 1427580448. It was assigned to this organization in the NPPES registry on March 29, 2017.

Where is Acqua Medical LLC located?

Acqua Medical LLC is located at 100 N Johnson Mill Rd, Midway, UT 84049. The listed phone number is (844) 654-3700.

What is Acqua Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Acqua Medical LLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.