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Organization

FORT PAYNE RHC CORP

Active
Parent organization
FORT PAYNE RHC CORP
Other names
DeKalb Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORT PAYNE RHC CORP
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization

Contact information

Practice address
415 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 997-2820
(256) 997-2890
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
(615) 465-3007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician
261QR1300X
Rural Health Clinic/Center
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529929140
AL
05
541003856
AL
Enumeration date
05/23/2006
Last updated
07/07/2023
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