NPIMap

Organization Active NPI

The Bibb County Healthcare Authority

Doing business as Bibb Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Centreville, AL
National Provider Identifier
1306062229
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
THE BIBB COUNTY HEALTHCARE AUTHORITY
Doing business as
Bibb Medical Center
Practice address
208 Pierson Ave
Centreville, AL 35042-2918
Phone
(205) 926-4881
Fax
(205) 926-5866
NPI assigned
Apr 18, 2007
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Marchant
Title
Ceo
Phone
(205) 926-4881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

208 Pierson Ave
Centreville, AL 35042-2918

Mailing address

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-4881

Other identifiers 1

IdentifierTypeStateIssuer
4790580SMedicaidAL

Other names 1

  • BIBB MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000152 AL Part A Provider - Hospital 7113822883 Practice locations: Centreville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306062229. Details of each certification follow.

Hospital certification: CCN 01U058

Legal name
THE BIBB COUNTY HEALTHCARE AUTHORITY
Doing business as
BIBB MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Sep 28, 1998 in AL
Enrollment address
208 Pierson Ave
Centreville, AL 35042-2918
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wiiliams Owings MD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brent Belcher Individual Corporate Director Jul 24, 2008
Joseph M Marchant Individual Corporate OfficerCeo Jan 1, 2011
Charles Allgood Individual Corporate DirectorBoard Member Jan 1, 2021
Cahaba Valley Health Services Inc Organization, Centreville, AL Operational/Managerial Control Jul 24, 2008
Heather Desmond Individual W-2 Managing EmployeeCfo Oct 1, 2013
Stephanie W Kemmer Individual Corporate Director Jul 24, 2008
David F Rooker Individual Corporate Director Jul 24, 2008
Glenda F Snelson Individual Corporate Director Jul 24, 2008
Richard L Cash Individual Corporate Director Jul 24, 2008
Willie Dunn Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bibb Medical AssociatesCentreville, AL, CCN 013976 Rural health clinic Operational/Managerial Control Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1306062229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422918",
            "telephone_number": "205-926-4881",
            "fax_number": "205-926-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422918",
            "telephone_number": "205-926-4881",
            "fax_number": "205-926-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BIBB COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-926-4881"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4790580S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIBB MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIBB MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.