Organization
RED CIRCLE LODGE, INC
Active
Organization
RED CIRCLE LODGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE SHEPHERD M.ED., LCMHC (CLINICAL DIRECTOR)
(435) 229-9437
Entity
Organization
Contact information
Practice address
930 N MEMORIAL ST, HILDALE, UT 84784
(435) 874-1467
Mailing address
930 N MEMORIAL ST #1670, HILDALE, UT 84784
(435) 874-1467
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up