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Organization

FORT PAYNE HOSPITAL CORPORATION

Active
Parent organization
FORT PAYNE HOSPITAL CORPORATION
Other names
Dekalb Regional Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORT PAYNE HOSPITAL CORPORATION
Authorized official
RANDY MICHAEL COOPER (AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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