Healthcare Provider Details

I. General information

NPI: 1407885734
Provider Name (Legal Business Name): THE BIBB COUNTY HEALTHCARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 04/22/2021
Certification Date: 04/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 PIERSON AVE
CENTREVILLE AL
35042-2918
US

IV. Provider business mailing address

208 PIERSON AVE
CENTREVILLE AL
35042-2918
US

V. Phone/Fax

Practice location:
  • Phone: 205-926-3236
  • Fax:
Mailing address:
  • Phone: 205-926-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH M MARCHANT
Title or Position: CEO
Credential:
Phone: 205-926-4881