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FORT PAYNE HOSPITAL CORPORATION NPI 1104121490


NPI Information

NPI: 1104121490
Provider Name: FORT PAYNE HOSPITAL CORPORATION

Doing Business As: DEKALB REGIONAL MEDICAL CENTER

Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
200 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 845-3150
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FORT PAYNE HOSPITAL CORPORATION is a recovery care clinic center in Fort Payne, AL. FORT PAYNE HOSPITAL CORPORATION NPI is 1104121490. The provider is registered as an organization entity type.
The provider Is Doing Business As Dekalb Regional Medical Center.

The provider's business location address is:

200 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968-458
Phone: (256) 845-3150

The provider's authorized official is Laurie Holtsford .
The authorized official title is Auth Official/dir Business Office and has the following contact phone number (615) 465-7466.

The enumeration date for this NPI number is 1/18/2011 and was last updated on 1/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalNo
2261QR0800XClinic/CenterRecovery CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1119736 - PECMEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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