RED CIRCLE LODGE, INC
NPI 1083107320
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Hildale, UT

Active since June 12, 2018CLIA 46D2159321 · Waiver
930 N MEMORIAL ST, HILDALE, UT 84784(435) 874-1467 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Red Circle Lodge, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED CIRCLE LODGE, INC (NPI 1083107320) is a healthcare organization registered as a substance abuse treatment, children in Hildale, Utah and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Lane Shepherd, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1083107320
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameRED CIRCLE LODGE, INC
Location Address930 N MEMORIAL STHildale, UT 84784
Mailing Address930 N Memorial St #1670Hildale, UT 84784 · (435) 874-1467
Organization SubpartNo
Authorized OfficialLane ShepherdClinical Director · (435) 229-9437
Enumeration DateJune 12, 2018
NPI 1083107320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

930 N MEMORIAL ST, Hildale, UT 84784

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2159321

Red Circle Lodge, Inc · Hildale, UT
Active · expires Dec 16, 2026
CLIA Number46D2159321
Laboratory TypeResidential Treatment
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorAeirn M. Dockstader
Laboratory Phone(435) 668-8809
Laboratory LocationRed Circle Lodge, Inc930 N Memorial St #1670, Hildale, UT 84784
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Circle Lodge, Inc's NPI number?

The NPI number for Red Circle Lodge, Inc is 1083107320. It was assigned to this organization in the NPPES registry on June 12, 2018.

Where is Red Circle Lodge, Inc located?

Red Circle Lodge, Inc is located at 930 N Memorial St, Hildale, UT 84784. The listed phone number is (435) 874-1467.

What is Red Circle Lodge, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Red Circle Lodge, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2159321) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Red Circle Lodge, Inc accept?

Health plans from University of Utah Health Plans list Red Circle Lodge, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Red Circle Lodge, Inc was last updated on June 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.