NPIMap

Organization Active NPI

HH Health System - Shoals LLC

  • Critical Access Hospital
  • Red Bay, AL
National Provider Identifier
1073601043
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11805 Issued in AL
Legal business name
HH HEALTH SYSTEM - SHOALS LLC
Practice address
211 Hospital Rd
Red Bay, AL 35582-3858
Phone
(256) 386-4011
Fax
(256) 386-4685
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11805 AL
Critical Access Hospital 282NC0060X 11805 AL Primary

Addresses

Primary practice location

211 Hospital Rd
Red Bay, AL 35582-3858

Mailing address

PO Box 490
Red Bay, AL 35582-0490
Phone (256) 386-4011

Other identifiers 4

IdentifierTypeStateIssuer
HOS0115HMedicaidAL
COM-7125AMedicaidAL
078OtherALBLUE CROSS
4791150SMedicaidAL

Other names 1

  • RED BAY HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031118000657 AL Part B Supplier - Clinic/Group Practice 8820902372 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Florence, AL; Red Bay, AL; Sheffield, AL
O20150410000269 AL Part A Provider - Critical Access Hospital 1759609324 Practice locations: Red Bay, AL
O20150410000625 AL Part A Provider - Critical Access Hospital 1759609324 Practice locations: Red Bay, AL

Hospital certification: CCN 011302

Legal name
HH HEALTH SYSTEM - SHOALS, LLC
Doing business as
RED BAY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2005
Last certification
Aug 22, 2024
Beds
25
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jan 1, 2015 (1 total)
Organization structure
LLCNon-profit
Incorporated
Nov 14, 2014 in AL
Enrollment address
211 Hospital Rd
Red Bay, AL 35582-3858
Main/Primary Hospital Location

Hospital certification: CCN 01Z302

Legal name
HH HEALTH SYSTEM - SHOALS, LLC
Doing business as
RED BAY HOSPITAL
Organization structure
LLCNon-profit
Incorporated
Nov 14, 2014 in AL
Enrollment address
211 Hospital Rd
Red Bay, AL 35582-3858
Hospital Swing-Bed Unit

Hospital certification: CCN 010115

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RED BAY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Sep 30, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Apr 27, 1967
Last certification
Apr 21, 2005
Beds
25
Ownership / control type
Other
Facility address
211 Hospital Road
Red Bay, AL 35582

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Red Bay HospitalCCN 011302
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

404 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 314-1201

1300 S Montgomery Ave
Ste A
Sheffield, AL 35660

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Justin Buchanan Individual Corporate OfficerPresident/Ceo Jun 1, 2019
W-2 Managing EmployeeAd; Jun 1, 2019 80%
Corporate OfficerPresident/Ceo Jun 1, 2019 80%
W-2 Managing Employee Jun 1, 2019 20%
Penny G Westmoreland Individual Corporate OfficerChief Financial Officer Mar 30, 2015
W-2 Managing EmployeeAd; Mar 30, 2015 20%
Corporate OfficerChief Financial Officer Mar 30, 2015 10%
W-2 Managing EmployeeAd; Mar 30, 2015
Clinton P Carter Individual Corporate OfficerSystem Chief Financial Officer Oct 1, 2020
Operational/Managerial ControlSystem Cfo Oct 1, 2020 80%
Tracy M Martin Individual Corporate DirectorDirector of Finance/Controller Jun 3, 2024
W-2 Managing EmployeeController Jun 3, 2024

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

Affiliated clinicians 39

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1073601043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355820490",
            "telephone_number": "256-386-4011",
            "fax_number": "256-386-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOSPITAL RD",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355823858",
            "telephone_number": "256-386-4011",
            "fax_number": "256-386-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH HEALTH SYSTEM - SHOALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-09-08",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "11805",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AL",
            "license": "11805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0115H",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COM-7125A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "078",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4791150S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED BAY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bay, AL

Sources for this page

Verify at the official NPI Registry.