Provider Demographics
NPI:1417209685
Name:H H HEALTH SYSTEM-MORGAN LLC
Entity Type:Organization
Organization Name:H H HEALTH SYSTEM-MORGAN LLC
Other - Org Name:DECATUR MORGAN HOSPITAL WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BONETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-265-9641
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:DEPT # 5531
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-5531
Mailing Address - Country:US
Mailing Address - Phone:256-341-2010
Mailing Address - Fax:256-306-1691
Practice Address - Street 1:2205 BELTLINE RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3617
Practice Address - Country:US
Practice Address - Phone:256-341-2010
Practice Address - Fax:256-306-1691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H H HEALTH SYSTEM-MORGAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-11
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALH5206273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL010-824OtherBLUE CROSS
ALHOS0085HMedicaid
AL010-824OtherBLUE CROSS
ALHOS0085HMedicaid