RED PINE RTC – NPI #1124644430
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

RED PINE RTC is a substance abuse rehabilitation facility located in FORT DUCHESNE, UT. NPPES has assigned the NPI number 1124644430 to RED PINE RTC on June 23, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RED PINE RTC below.

NPI Profile for
RED PINE RTC

NPI Number
1124644430
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RED PINE RTC
Primary location
550 SOUTH 6777 EAST
FORT DUCHESNE, UT 84026
Phone: (435) 722-9906 Fax:
Mailing address
PO BOX 309
FORT DUCHESNE, UT 84026-0309
Phone: (435) 725-2831 Fax: (435) 722-4690
Organization Subpart
Yes - RED PINE RTC is subpart of another organization.
Authorized Official
JASON LAW
CLINICAL DIRECTOR
Phone: (435) 725-2831
Updated
Certification Date
Jun 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.