NPIMap

Organization Active NPI

HH Health System - Jackson LLC

Doing business as Highlands Medical Center

  • General Acute Care Hospital
  • Scottsboro, AL
National Provider Identifier
1699444976
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HH HEALTH SYSTEM - JACKSON LLC
Doing business as
Highlands Medical Center
Practice address
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone
(256) 259-4444
Fax
(256) 218-3228
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Mr. Jimmy E Chatman
Title
Cfo
Phone
(256) 218-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

380 Woods Cove Rd
Scottsboro, AL 35768-2428

Mailing address

PO Box 1050
Scottsboro, AL 35768-1050
Phone (256) 259-4444

Other identifiers 2

IdentifierTypeStateIssuer
H050061HMedicaidAL
010121OtherALBLUE CROSS

Other names 1

  • Highlands Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520000205 AL Part A Provider - Hospital 1951788769 Practice locations: Scottsboro, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699444976. Details of each certification follow.

Hospital certification: CCN 010061

Legal name
HH HEALTH SYSTEM - JACKSON LLC
Doing business as
HIGHLANDS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 24, 2012
Beds
170
Ownership / control type
Hospital district or authority
Organization structure
LLCNon-profit
Incorporated
Aug 4, 2021 in AL
Enrollment address
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Highlands Medical CenterCCN 010061 · All quality measures
Overall star rating
3 of 5
Type
Acute Care 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
Tax ID family
HH Health System - Jackson LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Philip Bentley Individual Corporate OfficerBoard Member Oct 1, 2021
Clinton P Carter Individual Corporate OfficerCfo Huntsville Hospital System Oct 1, 2021
Robert Matthews Jr Individual Corporate OfficerBoard Member Oct 1, 2020
John Anderson Individual Corporate OfficerPresident Highlands Medical Cent Oct 1, 2021
W-2 Managing Employee Oct 1, 2021
Operational/Managerial Control Oct 1, 2021
The Health Care Authority of the City of Huntsville Organization, Huntsville, AL 5% Or Greater Direct Ownership Interest Oct 1, 2021
John Carrier Individual Corporate OfficerCfo of Highlands Dec 1, 2021
W-2 Managing EmployeeCfo Dec 1, 2021
Operational/Managerial ControlCfo Dec 1, 2021
Jeffrey Howard Samz Individual Corporate OfficerCeo Oct 1, 2021
W-2 Managing EmployeeCeo Oct 1, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

Affiliated clinicians 262

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

View all 262

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1699444976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681050",
            "telephone_number": "256-259-4444",
            "fax_number": "256-218-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WOODS COVE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682428",
            "telephone_number": "256-259-4444",
            "fax_number": "256-218-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH HEALTH SYSTEM - JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-218-3680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H050061H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010121",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.