NPIMap

Organization Active NPI

HH Health System - Dekalb RHC, LLC

Doing business as DeKalb Clinic

  • Clinic/Center
  • Fort Payne, AL
National Provider Identifier
1053172874
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HH HEALTH SYSTEM - DEKALB RHC, LLC
Doing business as
DeKalb Clinic
Practice address
415 Medical Center Dr SW
Fort Payne, AL 35968-3421
Phone
(256) 997-2820
Fax
(256) 997-2512
NPI assigned
Jan 18, 2024
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clinton Carter
Title
Cfo
Phone
(256) 801-6048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

415 Medical Center Dr SW
Fort Payne, AL 35968-3421

Mailing address

PO Box 38074
Belfast, ME 04915-1222
Phone (256) 801-6048

Other names 1

  • DeKalb Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240426001831 AL Part B Supplier - Clinic/Group Practice 2769822568 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Payne, AL
O20240816000319 AL Part A Provider - Rural Health Clinic 2769822568 Practice locations: Fort Payne, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053172874. Details of each certification follow.

Rural health clinic certification: CCN 013856

Legal name
HH HEALTH SYSTEM - DEKALB RHC LLC
Doing business as
DEKALB CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 1, 1994
Last certification
Mar 20, 2025
Ownership / control type
2B
Most recent change of ownership
Apr 1, 2006 (1 total)
Organization structure
OtherProprietary
Enrollment address
415 Medical Center Dr SW
Fort Payne, AL 35968-3421

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0877761HH Health System415 Medical Center Dr SW, Fort Payne, AL 35968Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Darrell N Blaylock Individual W-2 Managing EmployeeChief Exe Officer Apr 1, 2024
Steven C Smith Individual W-2 Managing EmployeeCfo Apr 1, 2024
Clinton P Carter Individual Corporate OfficerCfo Apr 1, 2024
The Health Care Authority of the City of Huntsville Organization, Huntsville, AL 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Operational/Managerial Control Apr 1, 2024 100%
Jeffrey Howard Samz Individual Corporate OfficerChief Exe Officer Apr 1, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2024 Change of OwnershipThis provider was the buyer Dekalb ClinicCCN 013856, AL, NPI 1184679938

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1053172874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38074",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151222",
            "telephone_number": "256-801-6048",
            "fax_number": "256-265-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683421",
            "telephone_number": "256-997-2820",
            "fax_number": "256-997-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH HEALTH SYSTEM - DEKALB RHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-801-6048"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeKalb Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.