Red Tyde is a medicare enrolled primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Hyde Park, Utah. The current practice location for Red Tyde is 3935 N 75 W, Hyde Park, Utah. For appointments, you can reach them via phone at
(435) 994-2665. The mailing address for Red Tyde is 2561 S 1560 W Ste B, Woods Cross, Utah and phone number is (801) 505-0821.
Red Tyde is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1679156004. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(435) 994-2665.
Primary Care Clinic Profile
| Full Name | Red Tyde |
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| Speciality | Clinic/Center |
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| Location | 3935 N 75 W, Hyde Park, Utah |
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| Authorized Official Name and Position | Tiffany M Redmond (OWNER) |
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| Authorized Official Contact | 4359942665 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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 Details:
| NPI Number | 1679156004 |
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| Provider Enumeration Date | 05/03/2021 |
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| Last Update Date | 06/09/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8921401605 |
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| Medicare Enrollment ID | O20220106001373 |
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Medical Identifiers
Medical identifiers for Red Tyde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679156004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Red Tyde acts as a billing entity for following providers:
| Provider Name | Jeremy C Starr |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1699876987
PECOS PAC ID: 9436182441
Enrollment ID: I20170301002655 |
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