FORT PAYNE CLINIC CORP (NPI# 1073035051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073035051 |
| Entity Type | Organization |
| Organization Name | FORT PAYNE CLINIC CORP |
| Other Organization Name | DEKALB CLINIC SOUTH |
| Practice Address |
13280 County Road 51 Collinsville AL 35961-4174 |
| Mailing Address |
Po Box 11136 Belfast ME 04915-4002 |
| Practice Telephone | 3077827560 |
| Mailing Telephone | 5652499080 |
| Mailing Fax Number | 2565249711 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | SOPHIA ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6152213851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | AL | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AL | Ambulatory Health Care Facilities | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DeKalb Clinic South | Doing Business As Name - Organization |
| Fort Payne RHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982642757 | Fort Payne Clinic Corp | Internal Medicine | 421 Medical Center Dr Sw, Fort Payne, AL 35968-3421 | 2006-06-03 |
| 1457305500 | Fort Payne Clinic Corp | Preventive Medicine | 303 Medical Center Dr Sw, Fort Payne, AL 35968-3420 | 2006-05-22 |
| 1326521345 | Fort Payne Clinic Corp | Durable Medical Equipment & Medical Supplies | 2605 Gault Ave N Ste 200, Fort Payne, AL 35967-3700 | 2018-09-14 |
| Street Address |
13280 COUNTY ROAD 51 |
| City | COLLINSVILLE |
| State | AL |
| Zip Code | 35961-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484404 | Dekalb Baptist Medical Center Home Health | Home Health | 13280 County Road 51, Collinsville, AL 35961-4174 | 2005-08-19 |
| 1013432244 | Fort Payne Rhc Corp | Family Medicine | 13280 County Road 51, Collinsville, AL 35961-4174 | 2017-08-09 |
| 1316103237 | Wills Valley Family Medicine LLC | Family Medicine | 13280 County Road 51, Collinsville, AL 35961-4174 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144301235 | Co Co, Inc. | Durable Medical Equipment & Medical Supplies | 720 North Valley Ave, Collinsville, AL 35961 | 2006-10-17 |
| 1467406298 | Collinsville Nursing Home, Inc | Skilled Nursing Facility | 685 North Valley Ave, Collinsville, AL 35961 | 2006-05-19 |
| 1225159981 | North East Alabama Center for Infectious Disease& Internal Medicine | Clinic/Center | 107 Main St, Collinsville, AL 35961 | 2007-04-02 |
| 1053367342 | Sunil K Jaiswal | Internal Medicine | 107 Main Street, Collinsville, AL 35961 | 2006-05-26 |
| 1467808881 | Brandi Ware | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2016-05-05 |
| 1669566527 | Frances H. Koe | Family Medicine | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2006-10-03 |
| 1841818010 | Dana Hall Siniard | Nurse Practitioner | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2020-07-13 |
| 1902450281 | Pamela Shirley | Family Medicine | 52 S Valley Ave Ste B, Collinsville, AL 35961-3263 | 2019-07-25 |
| 1134271281 | Judith Womack Jones | Nurse Practitioner | 52 S Valley Ave, Collinsville, AL 35961-3263 | 2007-01-17 |
| 1407213259 | Julie Menk | Speech-Language Pathologist | 68 N Valley Ave, Collinsville, AL 35961-3330 | 2016-01-25 |
| Find all providers in zip 35961 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578796462 | Rush Care, Inc. | Clinic/Center | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2009-08-26 |
| 1225159981 | North East Alabama Center for Infectious Disease& Internal Medicine | Clinic/Center | 107 Main St, Collinsville, AL 35961 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1952952541 | Pediatric Associates of Alexander City PC | Clinic/Center | 21 Coosa County Road 50, Kellyton, AL 35089-1900 | 2019-09-25 |
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1487123915 | Physicians Care of Camden LLC | Clinic/Center | 24b Camden Byp, Camden, AL 36726-1770 | 2018-11-14 |
| 1336634666 | Central Pediatrics of Somerville LLC | Clinic/Center | 3609 Highway 67 S, Somerville, AL 35670 | 2018-06-28 |
| 1578060349 | Ivy Creek of Elmore, LLC | Clinic/Center | 4412 Hogan Rd, Deatsville, AL 36022-3400 | 2018-04-09 |
| 1568915106 | Physicians Care of Grove Hill LLC | Clinic/Center | 127 Clark St Ste C&d, Grove Hill, AL 36451-3050 | 2016-08-01 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1972985968 | Athens Limestone Pediatric Center LLC | Clinic/Center | 101 Fitness Way Ste 2100, Athens, AL 35611-2494 | 2015-06-25 |
| 1396125258 | D W Mcmillan Memorial Hospital | Clinic/Center | 1674 Cleveland Ave, Castleberry, AL 36432 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 35961 |
Please comment or provide details below to improve the information on FORT PAYNE CLINIC CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.