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FORT PAYNE RHC CORP NPI 1184679938


NPI Information

NPI: 1184679938
Provider Name: FORT PAYNE RHC CORP

Doing Business As: DEKALB CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 01D0877761

Address:
415 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 997-2820
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FORT PAYNE RHC CORP is an internal medicine in Fort Payne, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FORT PAYNE RHC CORP NPI is 1184679938. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dekalb Clinic.

The provider's business location address is:

415 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968-421
Phone: (256) 997-2820
Fax: (256) 997-2890

The provider's authorized official is Laura J Fey .
The authorized official title is Sr. Director Physician Rev Cycle and has the following contact phone number (615) 221-3641.

The CLIA number assigned to this NPI record is 01D0877761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2261QR1300XClinic/CenterRural HealthNo
3363L00000XNurse PractitionerNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1529929140MEDICAIDALABAMA
2541003856MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.