# FORT PAYNE HBP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740748821
- **Authorized official:** LAURA FEY (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (615) 221-1400

## Contact information

- **Practice address:** 200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
- **Practice address phone:** (256) 997-2400
- **Mailing address:** PO BOX 5009, BRENTWOOD, TN 37024-5009
- **Mailing address phone:** (615) 221-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 03/07/2019