Covered Entity Details

DSH010005G HH Health System - Marshall LLC (Active) - information as of 5/6/2025 11:08:15 PM

Main Details

Name

HH Health System - Marshall LLC

Subdivision Name

MARSHALL MEDICAL CENTER NORTH - RADIOLOGY / MRI, ULTRASOUND, XRAY, CT SCAN, NUCLEAR MEDICINE

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH010005G

Medicare Provider Number

010005

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/8/2016

Participating Start Date

4/1/2016

Participating Approval Date

2/19/2016

Last Recertification Date

9/4/2024

Contacts

Authorizing Official

HH Health System - Marshall, LLC
Prudence Hill, Interim CFO
(256) 894-6745

Primary Contact

Marshall Medical Center South
Sherri H Creps, Controller
(256) 894-6733

Addresses

Street Address

8000 AL HIGHWAY 69
GUNTERSVILLE, AL 35976

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
AL	241367	1306914882,1407313760,1972144798

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
DSH010005A	Child	DSH	HH Health System - Marshall LLC	MARSHALL WOUND HEALING CENTER	11491 US HIGHWAY 431	ALBERTVILLE	AL	Active
DSH010005B	Child	DSH	HH Health System - Marshall LLC	MARSHALL PAIN CLINIC	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005C	Child	DSH	HH Health System - Marshall LLC	MARSHALL IMAGING CENTER	11491 US HIGHWAY 431	ALBERTVILLE	AL	Active
DSH010005D	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - EMERGENCY DEPT, O/P SVCS	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005E	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - RESPIRATORY THERAPY	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005F	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - LAB	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005G	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - RADIOLOGY / MRI, ULTRASOUND, XRAY, CT SCAN, NUCLEAR MEDICINE	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005H	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - ANESTHESIA	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005J	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - DELIVERY/LABOR	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005K	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - SURGERY/PACU	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005L	Child	DSH	HH Health System - Marshall LLC	MARSHALL SLEEP DISORDERS CENTER	2505 U.S. HIGHWAY 431	BOAZ	AL	Active
DSH010005M	Child	DSH	HH Health System - Marshall LLC	MARSHALL CANCER CARE CENTER	11491 US HWY 431	ALBERTVILLE	AL	Active
DSH010005N	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - CARDIOLOGY / EKG, EEG, CATH LAB	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005P	Child	DSH	HH Health System - Marshall LLC	MARSHALL MEDICAL CENTER NORTH - OUTPATIENT/OBSERVATION	8000 AL HIGHWAY 69	GUNTERSVILLE	AL	Active
DSH010005Q	Child	DSH	HH Health System - Marshall LLC	Marshall Rheumatology Clinic - Rheumatology	11491 US HWY 431	Albertville	AL	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	AO Change Request	Walker, Taylor CFO Marshall Medical Center South 2568946712	Hill, Prudence Interim CFO HH Health System - Marshall, LLC 2568946745	10/30/2024 3:20 PM
Details	Last Recertification Date	Update	Recertification	9/6/2023 1:55:14 PM	9/4/2024 9:12:54 AM	9/4/2024 9:12 AM
Details	Last Recertification Date	Update	Recertification	9/15/2022 4:40:00 PM	9/6/2023 1:55:14 PM	9/6/2023 1:55 PM
Details	Last Recertification Date	Update	Recertification	9/10/2021 2:21:19 PM	9/15/2022 4:40:00 PM	9/15/2022 4:40 PM
Details	Last Recertification Date	Update	Recertification	9/13/2020 9:13:02 PM	9/10/2021 2:21:19 PM	9/10/2021 2:21 PM
Medicaid Billing	NPI: State	Update	Recertification		AL	9/13/2020 9:13 PM
Medicaid Billing	NPI: State	Update	Recertification		AL	9/13/2020 9:13 PM
Medicaid Billing	NPI: State	Update	Recertification		AL	9/13/2020 9:13 PM
Details	Last Recertification Date	Update	Recertification	9/13/2019 11:13:09 AM	9/13/2020 9:13:02 PM	9/13/2020 9:13 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	2/13/2020 9:23 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		241367	2/13/2020 9:23 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	2/13/2020 9:23 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	HOS0005H (AL)		2/13/2020 9:23 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1972144798	2/13/2020 9:23 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1407313760	9/13/2019 11:13 AM
Contacts	Primary Contact	Update	Recertification	NELSON, KATHY B. CFO Marshall Medical Center South 2568946701	Creps, Sherri H Controller Marshall Medical Center South 2568946733	9/13/2019 11:13 AM
Details	Last Recertification Date	Update	Recertification	8/23/2018 3:51:05 PM	9/13/2019 11:13:09 AM	9/13/2019 11:13 AM
Details	Entity Name	Update	Recertification	MARSHALL MEDICAL CENTER - SOUTH	HH Health System - Marshall LLC	9/13/2019 7:04 AM
Contacts	Authorizing Official	Update	AO Change Request	GORE, GARY R. CEO Marshall Medical Centers 2568946611	Walker, Taylor CFO Marshall Medical Center South 2568946712	4/23/2019 6:44 AM
Details	Last Recertification Date	Update	Recertification	11/21/2017 5:24:56 PM	8/23/2018 3:51:05 PM	8/23/2018 3:51 PM
Details	Last Recertification Date	Update	Recertification	8/10/2016 12:00:00 AM	11/21/2017 5:24:56 PM	11/21/2017 5:24 PM
Contacts	Authorizing Official	Update		GORE, GARY R. CEO 2568946611	GORE, GARY R. CEO Marshall Medical Centers 2568946611	11/14/2017 1:04 PM
Contacts	Signed By	Update		GORE, GARY R. CEO 2568946611	GORE, GARY R. CEO Marshall Medical Centers 2568946611	11/14/2017 1:04 PM
Contacts	Primary Contact	Update		NELSON, KATHY B. CFO 2568946701	NELSON, KATHY B. CFO Marshall Medical Center South 2568946701	10/11/2017 4:51 PM
Contacts	Authorizing Official	Insert			GORE, GARY R. CEO 2568946611	4/19/2017 12:21 PM
Contacts	Signed By	Insert			GORE, GARY R. CEO 2568946611	4/19/2017 12:21 PM
Contacts	Primary Contact	Insert			NELSON, KATHY B. CFO 2568946701	8/17/2016 6:24 PM
Addresses	Main Address	Insert			8000 AL HIGHWAY 69 GUNTERSVILLE, AL 35976	8/17/2016 6:24 PM
Details	Last Recertification Date	Update			8/10/2016 12:00:00 AM	8/10/2016 3:25 PM
Dates	Participating Approval Date	Update			2/19/2016 12:00:00 AM	2/19/2016 3:47 PM
Details	State	Update		Pending	Active	2/19/2016 3:47 PM
Dates	Start Date	Update			4/1/2016 12:00:00 AM	2/19/2016 3:47 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_56905	DSH010005G	2/16/2016 11:43 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_56905	1/8/2016 11:10 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	1/8/2016 11:10 AM
Medicaid Billing	Medicaid: Number	Insert			HOS0005H	1/8/2016 11:10 AM
Medicaid Billing	Medicaid: State	Insert			AL	1/8/2016 11:10 AM
Medicaid Billing	NPI: Number	Insert			1306914882	1/8/2016 11:10 AM
Details	Last Recertification Date	Insert				1/8/2016 11:10 AM
Details	Grant Number	Insert				1/8/2016 11:10 AM
Details	340B ID	Insert				1/8/2016 11:10 AM
Details	Is Authorizing Official EHB Data	Insert				1/8/2016 11:10 AM
Dates	Last Date That 340B Drugs Purchased	Insert				1/8/2016 11:10 AM
Details	Medicare Provider Number	Insert			010005	1/8/2016 11:10 AM
Details	Entity Name	Insert			MARSHALL MEDICAL CENTER - SOUTH	1/8/2016 11:10 AM
Details	Program Code	Insert			DSH	1/8/2016 11:10 AM
Details	Entity Subname	Insert			MARSHALL MEDICAL CENTER NORTH - RADIOLOGY / MRI, ULTRASOUND, XRAY, CT SCAN, NUCLEAR MEDICINE	1/8/2016 11:10 AM
Dates	Participating Approval Date	Insert				1/8/2016 11:10 AM
Details	State	Insert			Pending	1/8/2016 11:10 AM
Dates	Registration Date	Insert			1/8/2016 12:00:00 AM	1/8/2016 11:10 AM
Dates	Signed By Date	Insert			1/8/2016 12:00:00 AM	1/8/2016 11:10 AM
Dates	Start Date	Insert				1/8/2016 11:10 AM
Terminations	Termination Comments	Insert				1/8/2016 11:10 AM
Terminations	Termination Date	Insert				1/8/2016 11:10 AM
Terminations	Termination Effective Date	Insert				1/8/2016 11:10 AM
Terminations	Termination Reason	Insert				1/8/2016 11:10 AM