Organization
MONROE COUNTY HEALTH CARE AUTHORITY
Active
Parent organization
MONROE COUNTY HEALTH CARE AUTHORITY
Other names
MCH Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONROE COUNTY HEALTH CARE AUTHORITY
Authorized official
MR. CHARLES WESLEY NALL (CEO)
(251) 575-3111
Entity
Organization
Contact information
Practice address
2016 S ALABAMA AVE, MONROEVILLE, AL 36460
(251) 575-9366
(251) 575-3945
Mailing address
PO BOX 886, MONROEVILLE, AL 36461-0886
(251) 575-9366
(251) 575-3945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
244
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009708180
—
AL
05
—
100001002
—
AL
01
—
51047025
BLUE CROSS HHA PROVIDER
AL
01
—
51503942
BLUE CROSS HME PROVIDER
AL
Enumeration date
05/23/2006
Last updated
07/17/2018
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