Provider Demographics
NPI:1568558146
Name:THE BIBB COUNTY HEALTH CARE AUTHORITY
Entity Type:Organization
Organization Name:THE BIBB COUNTY HEALTH CARE AUTHORITY
Other - Org Name:BIBB MEDICAL CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-926-4881
Mailing Address - Street 1:208 PIERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-2918
Mailing Address - Country:US
Mailing Address - Phone:205-926-4881
Mailing Address - Fax:
Practice Address - Street 1:208 PIERSON AVE
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-2918
Practice Address - Country:US
Practice Address - Phone:205-926-4881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0117855OtherPHARMACY