NPIMap

Organization Active NPI

Monroe County Health Care Authority

Doing business as Monroe County Hospital Lab

  • Clinical Medical Laboratory
  • Monroeville, AL
National Provider Identifier
1811027576
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0100671555 Issued in AL
Legal business name
MONROE COUNTY HEALTH CARE AUTHORITY
Doing business as
Monroe County Hospital Lab
Practice address
2016 S Alabama Ave
Monroeville, AL 36460
Phone
(251) 575-3111
Fax
(251) 743-7428
NPI assigned
Mar 6, 2007
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Glenda Griffin
Title
It Specialist
Phone
(251) 575-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0100671555 AL Primary

Addresses

Primary practice location

2016 S Alabama Ave
Monroeville, AL 36460

Mailing address

P.O. Box 886
Monroeville, AL 36461
Phone (251) 575-3111

Other identifiers 2

IdentifierTypeStateIssuer
0100671555OtherALCLIA
51032172OtherALBCBS PROVIDER NUMBER

Other names 1

  • Monroe County Hospital Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040203000319 AL Part B Supplier - Clinic/Group Practice 2668365859 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
Practice locations: Monroeville, AL
O20080527000770 AL Part B Supplier - Independent Clinical Laboratory 2668365859 Practice locations: Monroeville, AL

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0671555Monroe County Hospital2016 South Alabama Ave, Monroeville, AL 36460ComplianceJan 19, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Monroe County HospitalMonroeville, AL, CCN 011310 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
Hospice of Monroe CountyMonroeville, AL, CCN 011685 Hospice Operational/Managerial Control (100%) Oct 1, 2019
MCH Rural Health ClinicMonroeville, AL, CCN 013483 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1811027576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 886",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36461",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S ALABAMA AVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "36460",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "IT SPECIALIST",
        "authorized_official_telephone_number": "251-575-3111"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "0100671555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "0100671555",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51032172",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe County Hospital Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe County Hospital Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.