Red Bay Hospital Outpatient Clinics LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

B1704 Issued in AL

Legal business name

RED BAY HOSPITAL OUTPATIENT CLINICS LLC

Practice address

14490 County Line Road
Suite a
Muscle Shoals, AL 35661

Phone

(256) 661-2078

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

HH HEALTH SYSTEM - SHOALS LLCAs reported in NPPES

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

Authorized official

Name

Vincent Bonetti

Title

Executive Director, Revenue Cycle

Phone

(256) 265-9641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RED BAY HOSPITAL Other name

Part of

Helen Keller Hospital

Member of 1

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

• HH Health System - Shoals LLC

  dba Red Bay Hospital

  • Critical Access Hospital
  • Red Bay, AL
  • NPI 1073601043

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1205294428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-519-8282",
            "fax_number": "256-519-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14490 COUNTY LINE ROAD",
            "address_2": "SUITE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "35661",
            "telephone_number": "256-661-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BAY HOSPITAL OUTPATIENT CLINICS 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": "B1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157705",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED BAY HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• RCHP-Florence LLC (Shoals Hospital - ER)
• RCHP-Florence, LLC (Shoals Occupational Medicine, Inc.)
• RCHP-Florence, LLC (Shoals Physician Group)
• RCHP-Florence, LLC (Shoals Plastic Surgery)
• Ready Set Grow Pediatric Therapies, LLC (Ready Set Grow)
• Red Bay Hospital Outpatient Clinics LLC
• Renal Treatment Centers-Southeast, LP. (Muscle Shoals Dialysis)
• Sara Richardson Rickard, CRNP
• Bethany T Robbins, M.S., CCC-SLP
• Chloe Denise Roberson, COTA/L

• Rural Health Clinic/Center in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.