NPIMap

Organization Active NPI

H H Health System-Morgan LLC

Doing business as Decatur Morgan Hospital West

  • Psychiatric Hospital Unit
  • Decatur, AL
National Provider Identifier
1417209685
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H5206 Issued in AL
Legal business name
H H HEALTH SYSTEM-MORGAN LLC
Doing business as
Decatur Morgan Hospital West
Practice address
2205 Beltline Rd SW
Decatur, AL 35601-3617
Phone
(256) 341-2010
Fax
(256) 306-1691
NPI assigned
Oct 11, 2012
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
H H HEALTH SYSTEM-MORGAN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H5206 AL Primary

Addresses

Primary practice location

2205 Beltline Rd SW
Decatur, AL 35601-3617

Mailing address

PO Box 11407
Dept # 5531
Birmingham, AL 35246-5531
Phone (256) 341-2010

Other identifiers 2

IdentifierTypeStateIssuer
010-824OtherALBLUE CROSS
HOS0085HMedicaidAL

Other names 1

  • Decatur Morgan Hospital West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130829000354 AL Part A Provider - Hospital 5597918581 Practice locations: Decatur, AL
O20140428000906 AL Part B Supplier - Clinic/Group Practice 5597918581 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Decatur, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417209685. Details of each certification follow.

Hospital certification: CCN 01S085

Legal name
HH HEALTH SYSTEM - MORGAN, LLC
Doing business as
DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
Organization structure
LLCNon-profit
Incorporated
Aug 23, 2012 in AL
Enrollment address
2205 Beltline Rd SW
Decatur, AL 35601-3617
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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.

National Provider Directory

National Provider Directory
Part of
HH Health Sys Morgan

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
Lonnie D. Younger Individual W-2 Managing EmployeeCeo Sep 1, 2012
David S Spillers Individual W-2 Managing EmployeeCeo Sep 1, 2012
Kelli S Powers Individual W-2 Managing EmployeeCfo Jul 1, 2015
Vincent Bonetti Individual W-2 Managing EmployeePatient Financial Services Jul 1, 2015

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1417209685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT # 5531",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352465531",
            "telephone_number": "256-341-2010",
            "fax_number": "256-306-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BELTLINE RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013617",
            "telephone_number": "256-341-2010",
            "fax_number": "256-306-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H H HEALTH SYSTEM-MORGAN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H H HEALTH SYSTEM-MORGAN LLC",
        "enumeration_date": "2012-10-11",
        "last_updated": "2015-07-20",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "H5206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010-824",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0085H",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Morgan Hospital West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.