Red Tyde

LBN: Red Tyde
Red Tyde is an health care organization with primary practice located at 3935 N 75 W , Hyde Park UT 84318-4111. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Red Tyde can be contacted via phone (435) 994-2665, or through Redmond, Tiffany M via phone (435) 994-2665.

Contact Information

Primary practice address
3935 N 75 W Hyde Park UT 84318-4111
Phone: (435) 994-2665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Redmond, Tiffany M Physician's Assistant Certified (PA-C)
Phone: (435) 994-2665

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1679156004
LBN Legal business name Red Tyde
DBA Doing business as
Authorized official Redmond, Tiffany M Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2021
Last updated Jun 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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