Healthcare Provider Details

I. General information

NPI: 1588503460
Provider Name (Legal Business Name): CONTINUUM MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 E 5900 S
MURRAY UT
84107-5421
US

IV. Provider business mailing address

279 E 5900 S
MURRAY UT
84107-5421
US

V. Phone/Fax

Practice location:
  • Phone: 385-371-4515
  • Fax:
Mailing address:
  • Phone: 385-371-4515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE OCKEY
Title or Position: CFO
Credential: CPSS, CCM
Phone: 385-371-4515