# BHC-DEKALB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST HEALTH CENTERS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245361120
- **Legal business name:** BAPTIST HEALTH CENTERS, INC
- **Authorized official:** CHARLES A FAULKNER (PRESIDENT)
- **Authorized official phone:** (205) 715-5901

## Contact information

- **Practice address:** 200 BEACON PKWY W, SUITE 330, BIRMINGHAM, AL 35209-3102
- **Practice address phone:** (205) 715-5910
- **Practice address fax:** (205) 715-5928
- **Mailing address:** 415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
- **Mailing address phone:** (256) 997-2820
- **Mailing address fax:** (256) 997-2890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 10/10/2007