Covered Entity Details

CAH011302-01 HH Health System - Shoals LLC dba Red Bay Hospital (Terminated) - information as of 4/28/2025 1:49:00 AM

Main Details

Name

HH Health System - Shoals LLC dba Red Bay Hospital

Subdivision Name

MED EXPRESS RED BAY

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH011302-01

Medicare Provider Number

011302

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

4/14/2015

Participating Start Date

7/1/2015

Participating Approval Date

5/20/2015

Last Recertification Date

8/31/2020

Termination Date
Termination Reason

4/1/2021
Business decision by the Covered Entity

Contacts

Authorizing Official

HH Health System - Shoals LLC dba Helen Keller Hospital
Penny Westmoreland, CFO
(256) 386-4550

Primary Contact

HH Health System - Shoals LLC dba Helen Keller Hospital
Jacqueline Sharp, IT Pharmacist
(256) 386-4468

Addresses

Street Address

221 HOSPITAL ROAD
RED BAY, AL 35582

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MS	00020408	1073601043
AL	00011302	1073601043

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH011302-01	Child	CAH	HH Health System - Shoals LLC dba Red Bay Hospital	MED EXPRESS RED BAY	221 HOSPITAL ROAD	RED BAY	AL	Terminated
CAH011302-02	Child	CAH	COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY	MED EXPRESS-LITTLEVILLE	1369 WEST T ALLEN HIGHWAY	RUSSELLVILLE	AL	Terminated
CAH011302-03	Child	CAH	RED BAY HOSPITAL	Med Express Ford City	14490 County Line Road	Muscle Shoals	AL	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		1/31/2021 12:00:00 AM	3/22/2021 11:36 AM
Details	State	Update	Termination Request	Active	To Be Terminated	3/22/2021 11:36 AM
Terminations	Termination Date	Update	Termination Request		4/1/2021 12:00:00 AM	3/22/2021 11:36 AM
Terminations	Termination Effective Date	Update	Termination Request		1/31/2021 12:00:00 AM	3/22/2021 11:36 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	3/22/2021 11:36 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 2:37 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		00020408	8/31/2020 2:37 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		MS	8/31/2020 2:37 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 2:37 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		00011302	8/31/2020 2:37 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	8/31/2020 2:37 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1073601043	8/31/2020 2:37 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	8/31/2020 2:37 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1073601043	8/31/2020 2:37 PM
Medicaid Billing	NPI: State	Insert	Recertification		MS	8/31/2020 2:37 PM
Details	Last Recertification Date	Update	Recertification	8/28/2019 2:49:32 PM	8/31/2020 2:37:14 PM	8/31/2020 2:37 PM
Contacts	Primary Contact	Update	Change Request	Spangler, Jo R IT Pharmacist Helen Keller Hospital 2563864468	Sharp, Jacqueline IT Pharmacist HH Health System - Shoals LLC dba Helen Keller Hospital 2563864468	5/26/2020 12:10 PM
Details	Last Recertification Date	Update	Recertification	9/11/2018 6:59:43 AM	8/28/2019 2:49:32 PM	8/28/2019 2:49 PM
Details	Entity Name	Update	Recertification	COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY	HH Health System - Shoals LLC dba Red Bay Hospital	9/12/2018 6:16 PM
Details	Last Recertification Date	Update	Recertification	11/8/2017 3:05:11 PM	9/11/2018 6:59:43 AM	9/11/2018 6:59 AM
Details	Entity Subname	Update	Recertification	MED EXPRESS-RED BAY	MED EXPRESS RED BAY	9/11/2018 6:59 AM
Contacts	Authorizing Official	Update	Profile Change Request	Westmoreland, Penny CFO Helen Keller Hospital 2563864550	Westmoreland, Penny CFO HH Health System - Shoals LLC dba Helen Keller Hospital 2563864550	9/10/2018 4:21 PM
Contacts	Primary Contact	Update	Profile Change Request	Spangler, Jo R IT Pharmacist Red Bay Hospital 2563864468	Spangler, Jo R IT Pharmacist Helen Keller Hospital 2563864468	11/9/2017 9:18 AM
Details	Entity Name	Update	Recertification	RED BAY HOSPITAL	COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY	11/8/2017 3:28 PM
Contacts	Primary Contact	Update	Recertification	Spangler, Jo R IT Pharmacist Helen Keller Hospital 2563864468	Spangler, Jo R IT Pharmacist Red Bay Hospital 2563864468	11/8/2017 3:08 PM
Contacts	Primary Contact	Update	Recertification	Spangler, Jo R IT Pharmacist Red Bay Hospital 2563864468	Spangler, Jo R IT Pharmacist Helen Keller Hospital 2563864468	11/8/2017 3:06 PM
Contacts	Primary Contact	Insert	Recertification		Spangler, Jo R IT Pharmacist Red Bay Hospital 2563864468	11/8/2017 3:05 PM
Details	Last Recertification Date	Update	Recertification	8/29/2016 12:00:00 AM	11/8/2017 3:05:11 PM	11/8/2017 3:05 PM
Contacts	Authorizing Official	Update		Westmoreland, Penny CFO 2563864550	Westmoreland, Penny CFO Helen Keller Hospital 2563864550	10/31/2017 12:54 PM
Contacts	Authorizing Official	Insert			Westmoreland, Penny CFO 2563864550	11/2/2016 3:03 PM
Contacts	Signed By	Insert			STRICKLAND, MORRIS S. CFO 2563864553	11/2/2016 3:03 PM
Addresses	Main Address	Insert			221 HOSPITAL ROAD RED BAY, AL 35582	8/29/2016 2:44 PM
Details	Last Recertification Date	Update		8/20/2015 12:00:00 AM	8/29/2016 12:00:00 AM	8/29/2016 2:44 PM
Details	Last Recertification Date	Update			8/20/2015 12:00:00 AM	8/20/2015 3:21 PM
Dates	Participating Approval Date	Update			5/20/2015 12:00:00 AM	5/20/2015 11:32 AM
Details	State	Update		Pending	Active	5/20/2015 11:32 AM
Dates	Start Date	Update			7/1/2015 12:00:00 AM	5/20/2015 11:32 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_51477	CAH011302-01	4/16/2015 9:05 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_51477	4/14/2015 2:32 PM
Details	Last Recertification Date	Insert				4/14/2015 2:32 PM
Details	Grant Number	Insert				4/14/2015 2:32 PM
Details	340B ID	Insert				4/14/2015 2:32 PM
Details	Is Authorizing Official EHB Data	Insert				4/14/2015 2:32 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/14/2015 2:32 PM
Details	Medicare Provider Number	Insert			011302	4/14/2015 2:32 PM
Details	Entity Name	Insert			RED BAY HOSPITAL	4/14/2015 2:32 PM
Details	Program Code	Insert			CAH	4/14/2015 2:32 PM
Details	Entity Subname	Insert			MED EXPRESS-RED BAY	4/14/2015 2:32 PM
Dates	Participating Approval Date	Insert				4/14/2015 2:32 PM
Details	State	Insert			Pending	4/14/2015 2:32 PM
Dates	Registration Date	Insert			4/14/2015 12:00:00 AM	4/14/2015 2:32 PM
Dates	Signed By Date	Insert			4/14/2015 12:00:00 AM	4/14/2015 2:32 PM
Dates	Start Date	Insert				4/14/2015 2:32 PM
Terminations	Termination Comments	Insert				4/14/2015 2:32 PM
Terminations	Termination Date	Insert				4/14/2015 2:32 PM
Terminations	Termination Effective Date	Insert				4/14/2015 2:32 PM
Terminations	Termination Reason	Insert				4/14/2015 2:32 PM