# MONROE COUNTY HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONROE COUNTY HEALTH CARE AUTHORITY
- **Other names:** MCH Primary Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053592295
- **Legal business name:** MONROE COUNTY HEALTH CARE AUTHORITY
- **Authorized official:** MR. CHARLES WESLEY NALL (CEO)
- **Authorized official phone:** (251) 743-7430

## Contact information

- **Practice address:** 1075 DREWRY ROAD, MONROEVILLE, AL 36460
- **Practice address phone:** (251) 575-3111
- **Practice address fax:** (251) 743-7445
- **Mailing address:** P.O. BOX 886, MONROEVILLE, AL 36460
- **Mailing address phone:** (251) 575-3111
- **Mailing address fax:** (251) 743-7445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AL | Yes |
| 207Q00000X | Family Medicine Physician | — | IN | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 07/17/2018