Fort Payne Hospital Corporation

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

FORT PAYNE HOSPITAL CORPORATION

Practice address

200 Medical Center Dr SW
Fort Payne, AL 35968-3458

Phone

(256) 845-3150

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Auth Official/Dir Business Office

Phone

(615) 465-7466

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dekalb Regional Medical Center Doing business as

Tax ID family

Fort Payne Hosp Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Payne Hospital Corporation

  • Emergency Medicine Physician
  • Fort Payne, AL
  • NPI 1487694782
  NPD tax ID

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1104121490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683458",
            "telephone_number": "256-845-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683458",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PAYNE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTH OFFICIAL/DIR BUSINESS OFFICE",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119736 - PEC",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Payne Clinic Corp
• Fort Payne Clinic Corp
• Fort Payne Clinic Corp.
• Fort Payne HBP LLC
• Fort Payne Home Care, LLC
• Fort Payne Hospital Corporation
• Fort Payne Hospital Corporation
• Fort Payne Hospital Corporation
• Fort Payne Hospital Corporation
• Fort Payne Hospital Organization

• Recovery Care Clinic/Center in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Recovery Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.