NPIMap

Organization Active NPI

The Bibb County Healthcare Authority

  • Rural Health Clinic/Center
  • Centreville, AL
National Provider Identifier
1972532299
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE BIBB COUNTY HEALTHCARE AUTHORITY
Practice address
208 Pierson Avenue
Centreville, AL 35042-2946
Phone
(205) 926-4694
Fax
(205) 926-3248
NPI assigned
Jun 30, 2006
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
Mr. Joseph M Marchant
Title
Ceo
Phone
(205) 926-4881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

208 Pierson Avenue
Centreville, AL 35042-2946

Mailing address

208 Pierson Avenue
Centreville, AL 35042-2946
Phone (205) 926-4694

Other names 1

  • BIBB MEDICAL ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031204001178 AL Part B Supplier - Clinic/Group Practice 7113822883 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Centreville, AL
O20040108000493 AL Part A Provider - Rural Health Clinic 7113822883 Practice locations: Centreville, AL

Rural health clinic certification: CCN 013976

Legal name
THE BIBB COUNTY HEALTHCARE AUTHORITY
Doing business as
BIBB MEDICAL ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 5, 1992
Last certification
May 8, 2025
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1998 in AL
Enrollment address
208 Pierson Ave
Centreville, AL 35042-2918
Related CCNs
010058

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).

Other NPIs on the same Medicare enrollment 1

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
01D0300023Bibb Medical Associates208 Pierson Avenue, Centreville, AL 35042Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bibb Medical Center7 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 12

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 1, 2008
Joseph M Marchant Individual Corporate OfficerChief Executive Officer Dec 19, 2012
Charles Allgood Individual Corporate DirectorBoard Member Jan 1, 2021
Cahaba Valley Health Services Inc Organization, Centreville, AL Operational/Managerial Control Jul 1, 2008
Heather Desmond Individual Contracted Managing EmployeeCfo Jan 1, 2021
Corporate OfficerCfo Jan 1, 2021
Stephanie W Kemmer Individual Corporate Director Jul 1, 2008
David F Rooker Individual Corporate Director Jul 1, 2008
Glenda F Snelson Individual Corporate Director Jul 1, 2008
Richard L Cash Individual Corporate Director Jul 1, 2008
Karen Smith Individual Corporate DirectorBoard Member Dec 1, 2021
The Bibb County Healthcare Authority Organization, Centreville, AL Operational/Managerial Control Jan 1, 2013
Willie Dunn Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 6

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1972532299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-4694",
            "fax_number": "205-926-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-4694",
            "fax_number": "205-926-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BIBB COUNTY HEALTHCARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-926-4881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIBB MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BIBB MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.