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General NPI Number Information
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NPI Number | 1568558146
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Entity Type | Organization
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Legal Business Name | THE BIBB COUNTY HEALTH CARE AUTHORITY
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 208 PIERSON AVE
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City | CENTREVILLE
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State | AL
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Zip | 35042-2918
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Country | US
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Telephone | 205-926-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 208 PIERSON AVE
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City | CENTREVILLE
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State | AL
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Zip | 35042-2918
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Country | US
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Telephone | 205-926-4881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH M MARCHANT
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Credential |
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Telephone | 205-926-4881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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