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DSH010058 BIBB MEDICAL CENTER (Active)
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Main Details
Name
BIBB MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010058
Medicare Provider Number
010058
Additional Details
Current Program Status
Active
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/7/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Bibb Medical Center
Joseph Marchant, CEO
(205) 926-3361
Primary Contact
Bibb Medical Center
Heather Desmond, CFO
(205) 926-3281
Addresses
Street Address
208 PIERSON AVENUE
CENTREVILLE, AL 35042
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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March 2025
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