| Name: | The Bibb County Health Care Authority |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 27 Apr 1957 (68 years ago) |
| Entity Number: | 000-715-224 |
| Register Number: | 000715224 |
| Historical Names: |
Bibb County Hospital Board
|
| Place of Formation: | Bibb County |
| Principal Address: | CENTREVILLE, AL |
Activities
OPERATE PUBLIC HOSPITALS & HEALTH FACILTIES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAH3QAHE5H35 | 2024-11-13 | 208 PIERSON AVE, CENTREVILLE, AL, 35042, 2918, USA | 208 PIERSON AVENUE, CENTREVILLE, AL, 35042, 2918, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-16 |
| Initial Registration Date | 2009-02-27 |
| Entity Start Date | 1957-04-27 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JOSEPH MARCHANT |
| Address | 208 PIERSON AVENUE, CENTREVILLE, AL, 35042, 2918, USA |
| Title | ALTERNATE POC |
| Name | HEATHER DESMOND |
| Address | 208 PIERSON AVENUE, CENTREVILLE, AL, 35042, 2918, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JOSEPH MARCHANT |
| Address | 208 PIERSON AVENUE, CENTREVILLE, AL, 35042, 2918, USA |
| Title | ALTERNATE POC |
| Name | HEATHER DESMOND |
| Address | 208 PIERSON AVENUE, CENTREVILLE, AL, 35042, 2918, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104530963 | 2023-01-06 | 2023-01-06 | 208 PIERSON AVE, CENTREVILLE, AL, 350422918, US | 208 PIERSON AVE, CENTREVILLE, AL, 350422918, US | |||||||||||||||||||||
|
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| Phone | +1 205-926-3281 |
| Phone | +1 205-926-3277 |
Authorized person
| Name | HEATHER DESMOND |
| Role | VICE-PRESIDENT/CFO |
| Phone | 2059263281 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100010134 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5C5E8 | Obsolete | Non-Manufacturer | 2009-03-03 | 2024-09-25 | No data | 2025-09-23 | |||||||||||||||
|
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| POC | JOSEPH MARCHANT |
| Phone | +1 205-926-3361 |
| Fax | +1 205-926-3296 |
| Address | 208 PIERSON AVE, CENTREVILLE, AL, 35042 2918, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| PIERSON, LELAND | Incorporator |
| OAKLEY, JAMES W SR | Incorporator |
| FULLER, JEROME T JR | Incorporator |
| MCCALLA, JOE I SR | Incorporator |
| MCCARY, DOUGLAS | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1998-09-28 | Name Change | Bibb County Hospital Board | The Bibb County Health Care Authority |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | VA247BO0087 | 2010-01-15 | No data | No data | |||||||||||||||||||||||
|
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| Obligated Amount | 0.00 |
| Potential Award Amount | 0.00 |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q401: NURSING SERVICES |
Recipient Details
| Recipient | THE BIBB COUNTY HEALTH CARE AUTHORITY |
| UEI | WAH3QAHE5H35 |
| Recipient Address | UNITED STATES, 208 PIERSON AVE, CENTREVILLE, BIBB, ALABAMA, 350422918 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
