Organization
MEDEXPRESS RED BAY LLC
Active
Organization
MEDEXPRESS RED BAY LLC
Active
Parent organization
HH HEALTH SYSTEM - SHOALS LLC
Other names
MEDEXPRESS RED BAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HH HEALTH SYSTEM - SHOALS LLC
Authorized official
VINCENT BONETTI (EXECUTIVE DIRECTOR, REVENUE CYCLE)
(256) 265-9641
Entity
Organization
Contact information
Practice address
221 HOSPITAL RD, RED BAY, AL 35582-3858
(256) 356-8907
(256) 356-8903
Mailing address
221 HOSPITAL RD, RED BAY, AL 35582-3858
(256) 356-8907
(256) 356-8903
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
B3004
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161453
—
AL
Enumeration date
02/02/2016
Last updated
02/02/2016
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