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Contact Information

RED TYDE
245 N 700 W
HYDE PARK, UT84318
 Phone: 435-213-3797
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Adolescent and Children Mental Health

261QM0855X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for RED TYDE

NPI Number 1679156004
LBN Legal business name RED TYDE
Authorized official TIFFANY REDMOND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2021
Last updated 04/20/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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