- Enrollment id
- O20080625000068
- Enrollment state
- AL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1407885734
- Multiple npi flag
- N
- Ccn
- 015215
- Associate id
- 7113822883
- Organization name
- THE BIBB COUNTY HEALTHCARE AUTHORITY
- Incorporation date
- 1998-09-28
- Incorporation state
- AL
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- BIBB MEDICAL CENTER NURSING HOME
- Address line 1
- 208 PIERSON AVE
- City
- CENTREVILLE
- State
- AL
- Zip code
- 350422918