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 (SVP FINANCE OPERATIONS/AO)
(615) 221-3840
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DRIVE, FORT PAYNE, AL 35968
(256) 845-3150
Mailing address
PO BOX 277507, ATLANTA, GA 30384-7507
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
012866
AL
Other
Enumeration date
07/26/2006
Last updated
09/03/2020
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