| Red Tyde | |
|
3935 N 75 W Hyde Park UT 84318-4111 | |
| (435) 994-2665 | |
| Not Available |
| Full Name | Red Tyde |
|---|---|
| Speciality | Clinic/Center |
| Location | 3935 N 75 W, Hyde Park, Utah |
| Authorized Official Name and Position | Tiffany M Redmond (OWNER) |
| Authorized Official Contact | 4359942665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Tyde 2561 S 1560 W Ste B Woods Cross UT 84087-2361 Ph: (801) 505-0821 | Red Tyde 3935 N 75 W Hyde Park UT 84318-4111 Ph: (435) 994-2665 |
| NPI Number | 1679156004 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 06/09/2021 |
| Certification Date | 06/09/2021 |
| Medicare PECOS PAC ID | 8921401605 |
|---|---|
| Medicare Enrollment ID | O20220106001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679156004 | NPI | - | NPPES |
| Provider Name | Jeremy C Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699876987 PECOS PAC ID: 9436182441 Enrollment ID: I20170301002655 |
Amy Bowen Cmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 East 300 North, Suite #1, Hyde Park, UT 84318 Phone: 435-557-0655 | |
Terry P. Barnes, Ms, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 W Center St, Hyde Park, UT 84318 Phone: 435-753-0272 Fax: 435-753-2252 | |
Melanie Elder Stoddard Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 W. 300 N Ste 1, Hyde Park, UT 84318 Phone: 435-774-4113 Fax: 435-535-3197 | |
Melissa Nichols Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 W 300 N, Hyde Park, UT 84318 Phone: 435-744-4113 |