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CAH011302-01 HH Health System - Shoals LLC dba Red Bay Hospital (Terminated)
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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
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