Healthcare Provider Details

I. General information

NPI: 1568558146
Provider Name (Legal Business Name): THE BIBB COUNTY HEALTH CARE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
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: 205-926-4881
  • Fax:
Mailing address:
  • Phone: 205-926-4881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

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