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Organization
FORT PAYNE HOSPITAL CORPORATION
Active
Organization
FORT PAYNE HOSPITAL CORPORATION
Active
Other names
Dekalb Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTH OFFICIAL/DIR BUSINESS OFFICE)
(615) 465-7466
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Mailing address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
282N00000X
General Acute Care Hospital
—
NULL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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