# FORT PAYNE HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FORT PAYNE HOSPITAL CORPORATION
- **Other names:** Dekalb Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255959144
- **Legal business name:** FORT PAYNE HOSPITAL CORPORATION
- **Authorized official:** RANDY MICHAEL COOPER (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 221-3840

## Contact information

- **Practice address:** 200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
- **Practice address phone:** (256) 845-3150
- **Practice address fax:** (256) 997-2512
- **Mailing address:** 1573 MALLORY LN STE 200, BRENTWOOD, TN 37027-2895
- **Mailing address phone:** (615) 221-3758
- **Mailing address fax:** (615) 221-1456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 07/08/2020