BIBB MEDICAL CENTER (THE BIBB COUNTY HEALTHCARE AUTHORITY) NPI 1306062229

Medicare Defined Swing Bed Unit in Centreville, AL

NPI 1306062229 Organization Medicare Defined Swing Bed Unit CLIA Number 01D0300027 CLIA Certificate of Compliance

About BIBB MEDICAL CENTER (THE BIBB COUNTY HEALTHCARE AUTHORITY)

Bibb Medical Center (the Bibb County Healthcare Authority) is a provider established in Centreville, Alabama specializing in medicare defined swing bed unit. The NPI number of Bibb Medical Center (the Bibb County Healthcare Authority) is 1306062229 and was assigned on April 2007. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Bibb Medical Center. The authorized official of this NPI record is Joseph Marchant (Ceo)

The CLIA number of Bibb Medical Center is 01D0300027 registered as a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Bibb Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1306062229

Provider NameBIBB MEDICAL CENTER (THE BIBB COUNTY HEALTHCARE AUTHORITY)
Provider Location Address208 PIERSON AVE CENTREVILLE, AL 35042
Provider Mailing Address208 PIERSON AVE CENTREVILLE, AL 35042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBIBB MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date04-18-2007
Last Update Date04-22-2021


Primary Taxonomy

Taxonomy Code275N00000X
ClassificationMedicare Defined Swing Bed Unit
TypeHospital Units
Taxonomy DescriptionA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Business Address

BIBB MEDICAL CENTER
208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4881
Fax: (205) 926-5866

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Mailing Address

BIBB MEDICAL CENTER
208 PIERSON AVE
CENTREVILLE, AL
ZIP 35042
Phone: (205) 926-4881
Fax: (205) 926-5866



Authorized Official

Authorized Official Name JOSEPH MARCHANT
Authorized Official TitleCEO
Authorized Official Phone(205) 926-4881

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1306062229 is:

CLIA Number01D0300027
Facility TypeHOSPITAL
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4790580SMEDICAID (05)AL

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780796813MS. TRESA RAY HOUSE RPH
Individual
Pharmacist208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3277
1760735716 DOUGLAS H LOLLEY CRNP
Individual
Nurse Practitioner (Family)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3283
1356884951MISS KARLEE JOHNSON CRNP
Individual
Nurse Practitioner (Family)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1912446402 JESSICA KELLY GODWIN CRNP
Individual
Nurse Practitioner (Family)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3284
1093815722 CONNIE WALKER RICHARDSON MD
Individual
Family Medicine208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3284
1588131643BIBB MEDICAL CENTER
Organization
Clinic/Center (Urgent Care)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1437377793BIBB COUNTY HOSPITAL BOARD
Organization
General Acute Care Hospital208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1841383585 KANDACE SHOULTS CRNP
Individual
Nurse Practitioner (Acute Care)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1841358249DR. JENNIFER JOHNSON GUTHRIE PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 937-0314
1407885734THE BIBB COUNTY HEALTHCARE AUTHORITY
Organization
Skilled Nursing Facility208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3236
1568558146THE BIBB COUNTY HEALTH CARE AUTHORITY
Organization
Pharmacy208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1255376828THE BIBB COUNTY HEALTHCARE AUTHORITY
Organization
General Acute Care Hospital208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-4881
1902473440 EMILY KATE CRAIN RD
Individual
Dietitian, Registered208 PIERSON AVE
CENTREVILLE, AL 35042
(205) 926-3244

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.