Provider Demographics
NPI:1588131643
Name:BIBB MEDICAL CENTER
Entity type:Organization
Organization Name:BIBB MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-926-4881
Mailing Address - Street 1:208 PIERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-2918
Mailing Address - Country:US
Mailing Address - Phone:205-926-4881
Mailing Address - Fax:205-926-3296
Practice Address - Street 1:208 PIERSON AVE
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-2918
Practice Address - Country:US
Practice Address - Phone:205-926-4881
Practice Address - Fax:205-926-3296
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BIBB COUNTY HEALTH CARE AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care