Organization
FORT PAYNE CLINIC CORP
Active
Other names
Fort Payne RHC, DeKalb Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
13280 COUNTY ROAD 51, COLLINSVILLE, AL 35961-4174
(307) 782-7560
Mailing address
PO BOX 11136, BELFAST, ME 04915-4002
(565) 249-9080
(256) 524-9711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
AL
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/12/2017
Last updated
07/07/2023
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