NPIMap

Organization Active NPI

Monroe County Health Care Authority

Doing business as MCH Physicians Group

  • Family Medicine Physician
  • Monroeville, AL
National Provider Identifier
1871015461
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONROE COUNTY HEALTH CARE AUTHORITY
Doing business as
MCH Physicians Group
Practice address
2016 S Alabama Ave Ste C
Monroeville, AL 36460-3044
Phone
(251) 575-3111
Fax
(251) 743-7445
NPI assigned
Jul 14, 2017
Last updated
Jul 14, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MONROE COUNTY HOSPITAL BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Authorized official

Name
Kathy Johnson
Title
PFS Director
Phone
(251) 743-7485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

2016 S Alabama Ave Ste C
Monroeville, AL 36460-3044

Mailing address

PO Box 886
Monroeville, AL 36461-0886
Phone (251) 575-3111

Other names 1

  • MCH Physicians Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321001799 AL Part B Supplier - Clinic/Group Practice 2668365859 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monroeville, AL

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Atmore Community Hospital9 organizations share this tax ID, including this one
Part of
Atmore Community Hospital

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1871015461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610886",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S ALABAMA AVE STE C",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603044",
            "telephone_number": "251-575-3111",
            "fax_number": "251-743-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROE COUNTY HOSPITAL BOARD",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "251-743-7485"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCH Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.