Fort Payne Hospital Corporation

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

012866 Issued in AL

Legal business name

FORT PAYNE HOSPITAL CORPORATION

Doing business as

Dekalb Regional Medical Center

Practice address

200 Medical Center Drive
Fort Payne, AL 35968

Phone

(256) 845-3150

NPI assigned

Jul 26, 2006

Last updated

Sep 3, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

FORT PAYNE HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Randy Michael Cooper

Title

SVP Finance Operations/Ao

Phone

(615) 221-3840

Specialties & licenses 1

Addresses

Other names 1

• Dekalb Regional Medical Center Doing business as

Part of

Fort Payne Hosp Corp

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1639192891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277507",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PAYNE HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT PAYNE HOSPITAL CORPORATION",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OPERATIONS/AO",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AL",
            "license": "012866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dekalb Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Fort Payne Pediatrics LLC
• Fort Payne Pediatrics, LLC

• Psychiatric Hospital Unit in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Psychiatric Hospital Unit in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.