FORT PAYNE HOSPITAL CORPORATION


Address: 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458
Phone: 2568453150

FORT PAYNE HOSPITAL CORPORATION (NPI# 1255959144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255959144
Entity Type Organization
Organization Name FORT PAYNE HOSPITAL CORPORATION
Practice Address 200 Medical Center Dr Sw
Fort Payne
AL 35968-3458
Mailing Address 1573 Mallory Ln Ste 200
Brentwood
TN 37027-2895
Practice Telephone 2568453150
Practice Fax Number 2569972512
Mailing Telephone 6152213758
Mailing Fax Number 6152211456
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Authorized Official Name RANDY MICHAEL COOPER (AUTHORIZED OFFICIAL)
Authorized Official Telephone 6152213840
Is Organization Subpart Y
Parent Organization Name FORT PAYNE HOSPITAL CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit Hospital Units

Other Provider/Organization Names

Other Name Type Code
Dekalb Regional Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710901178 Fort Payne Hospital Corporation General Acute Care Hospital 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2006-07-27
1487694782 Fort Payne Hospital Corporation Hospitalist 200 Medical Center Dr., Fort Payne, AL 35968 2006-06-07
1104121490 Fort Payne Hospital Corporation General Acute Care Hospital 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2011-01-18
1639192891 Fort Payne Hospital Corporation Psychiatric Unit 200 Medical Center Drive, Fort Payne, AL 35968 2006-07-26

Office Location

Street Address 200 MEDICAL CENTER DR SW
City FORT PAYNE
State AL
Zip Code 35968-3458

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710901178 Fort Payne Hospital Corporation General Acute Care Hospital 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2006-07-27
1245850940 Andrew Thomas Hunter Nurse Anesthetist, Certified Registered 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2020-04-22
1124678628 Micah Miranda Hilyer Nurse Practitioner 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2019-09-17
1740748821 Fort Payne Hbp LLC Emergency Medicine 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2019-03-07
1467937250 Karen Shelley Nurse Practitioner 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2018-09-27
1275013849 Hannah Nicole Shultz Speech-Language Pathologist 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2018-08-14
1962982504 Kimberly Bryan Physical Therapist 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2018-08-14
1750869905 Encore Rehabilitation Inc Physical Therapy Assistant 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2018-07-31
1902342983 Jeremy Allen Shutlz Nurse Practitioner 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2017-01-13
1194147041 Nicholas Chivers Nurse Anesthetist, Certified Registered 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 2014-01-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417382623 Lori Land Camp Pharmacist 101 Cracker Barrel Row, Ft Payne, AL 35968 2013-09-06
1841424959 Ashley Renee Cole Emergency Medicine 590 Medical Center Dr, Fort Payne, AL 35968 2009-05-05
1871758938 Michael Steven Digby Dermatology 1403 Old Water Works Rd Sw, Fort Payne, AL 35968 2008-07-28
1356516611 Robyn Reesman, O.d.,inc. Optometrist 2001 Glenn Blvd. Sw, Fort Payne, AL 35968 2008-04-28
1124219902 Rebecca Burns Ingram Occupational Therapist 2804 Greenhill Blvd Nw Ste 102, Fort Payne, AL 35968 2007-08-06
1467657957 Palmer Orthopaedic & Sports Medicine, PC Orthopaedic Surgery 315 Medical Center Dr. Sw, Fort Payne, AL 35968 2007-06-15
1225171309 Dekalb County Health Dept Offsite Epsdt Public Health or Welfare 2401 Calvin Dr, S.w., Ft. Payne, AL 35968 2007-02-15
1376612648 American Hospice -- Fort Payne Hospice Care, Community Based 103 3rd Street North West, Suite 202, Fort Payne, AL 35968 2006-11-08
1316978588 Bhc-palmer Orthopaedics and Sports Medicine Specialist 315 Medical Park, Fort Payne, AL 35968 2006-07-06
1487694782 Fort Payne Hospital Corporation Hospitalist 200 Medical Center Dr., Fort Payne, AL 35968 2006-06-07
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477835825 United Florala, Inc Medicare Defined Swing Bed Unit 24273 Fifth Avenue, Florala, AL 36442 2011-09-12
1750480406 Crenshaw County Health Care Authority Medicare Defined Swing Bed Unit 101 Hospital Cir, Luverne, AL 36049-7329 2006-09-21
1114548930 Geneva County Healthcare Authority, Inc. Medicare Defined Swing Bed Unit 1200 W Maple Ave, Geneva, AL 36340-1642 2020-05-04
1962056143 Mizell Memorial Hospital Medicare Defined Swing Bed Unit 702 N Main St, Opp, AL 36467-1626 2019-07-26
1659868297 Floyd Cherokee Medical Center LLC Medicare Defined Swing Bed Unit 400 Northwood Dr, Centre, AL 35960-1023 2018-04-19
1801309711 The Health Care Authority of The City of Eufaula Medicare Defined Swing Bed Unit 820 W Washington St, Eufaula, AL 36027-1822 2017-11-14
1821511866 St. Vincent's St. Clair, LLC Medicare Defined Swing Bed Unit 7063 Veterans Pkwy, Pell City, AL 35125-5114 2017-07-21
1447772751 Tanner Medical Center Alabama Inc Medicare Defined Swing Bed Unit 1032 Main St South, Wedowee, AL 36278-5139 2017-07-10
1083157275 Qhg of Enterprise Inc Medicare Defined Swing Bed Unit 400 N Edwards St, Enterprise, AL 36330-2510 2016-11-21
1215479357 Dale Medical Center Medicare Defined Swing Bed Unit 126 Hospital Ave, Ozark, AL 36360-2018 2016-11-07
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Competitor

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City FORT PAYNE
Zip Code 35968

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Dataset Information

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.

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