Active NPI
Fort Payne Hospital Corporation
Doing business as Dekalb Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Fort Payne, AL
National Provider Identifier
1255959144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- FORT PAYNE HOSPITAL CORPORATION
- Doing business as
- Dekalb Regional Medical Center
- Practice address
- 200 Medical Center Dr SW
Fort Payne, AL 35968-3458 - Phone
- (256) 845-3150
- Fax
- (256) 997-2512
- NPI assigned
- Jul 8, 2020
- Last updated
- Jul 8, 2020
- Organization subpart
- Yes
- Parent organization
- FORT PAYNE HOSPITAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | NU | Primary |
Addresses
Primary practice location
200 Medical Center Dr SW
Fort Payne, AL 35968-3458
Mailing address
1573 Mallory LN Ste 200
Brentwood, TN 37027-2895
Phone (615) 221-3758
Other names 1
- Dekalb Regional Medical Center
National Provider Directory
National Provider Directory- Part of
- Fort Payne Hosp Corp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594166400000",
"number": "1255959144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MALLORY LN STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272895",
"telephone_number": "615-221-3758",
"fax_number": "615-221-1456"
},
{
"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",
"fax_number": "256-997-2512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT PAYNE HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORT PAYNE HOSPITAL CORPORATION",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dekalb Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Payne, AL
- Fort Payne Clinic Corp (DeKalb Internal Medicine)
- Fort Payne Clinic Corp.
- Fort Payne HBP LLC
- Fort Payne Home Care, LLC (Alabama HomeCare of Fort Payne)
- Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
- Fort Payne Hospital Corporation (DeKalb Regional Medical Center)
- Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
- Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
- Fort Payne Hospital Organization (DeKalb Hospitalist Associates)
- Fort Payne MRI LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.