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Medexpress Red Bay LLC

Organization Active NPI Rural Health Clinic/Center · Red Bay, AL

NPI 1013375237 · NPPES record last updated Feb 2, 2016

Key facts

NPI
1013375237
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
B3004 (AL)
Legal business name
MEDEXPRESS RED BAY LLC
Practice address
221 Hospital Rd
Red Bay, AL 35582-3858
Phone
(256) 356-8907
Fax
(256) 356-8903
NPI assigned
Feb 2, 2016
Organization subpart
Yes
Parent organization (as reported)
HH HEALTH SYSTEM - SHOALS LLC

Authorized official

Name
Vincent Bonetti
Title
Executive Director, Revenue Cycle
Phone
(256) 265-9641

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
HH Health System-Shoals

Locations

221 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8907

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X B3004 AL Yes

Addresses

Primary practice location

221 Hospital Rd
Red Bay, AL 35582-3858

Mailing address

221 Hospital Rd
Red Bay, AL 35582-3858
Phone (256) 356-8907

Other identifiers

IdentifierTypeStateIssuer
161453MedicaidAL

Other names

  • MEDEXPRESS RED BAY Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2016.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1013375237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-8907",
            "fax_number": "256-356-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-356-8907",
            "fax_number": "256-356-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS RED BAY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HH HEALTH SYSTEM - SHOALS LLC",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "BONETTI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "256-265-9641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "B3004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161453",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDEXPRESS RED BAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Red Bay, AL

All providers in Red Bay, AL · Rural Health Clinic/Center in Alabama

Sources for this page

Verify at the official NPI Registry.