Organization
RED BAY HOSPITAL OUTPATIENT CLINICS LLC
Active
Parent organization
HH HEALTH SYSTEM - SHOALS LLC
Other names
RED BAY HOSPITAL
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
14490 COUNTY LINE ROAD, SUITE A, MUSCLE SHOALS, AL 35661
(256) 661-2078
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8282
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
B1704
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157705
—
AL
Enumeration date
02/02/2016
Last updated
02/02/2016
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