FORT PAYNE HOSPITAL CORPORATION (NPI# 1639192891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639192891 |
| Entity Type | Organization |
| Organization Name | FORT PAYNE HOSPITAL CORPORATION |
| Other Organization Name | DEKALB REGIONAL MEDICAL CENTER |
| Practice Address |
200 Medical Center Drive Fort Payne AL 35968 |
| Mailing Address |
Po Box 277507 Atlanta GA 30384-7507 |
| Practice Telephone | 2568453150 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORT PAYNE HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 012866 | AL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Dekalb Regional Medical Center | Doing Business As Name - Organization |
| 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 |
| 1255959144 | Fort Payne Hospital Corporation | Medicare Defined Swing Bed Unit | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-07-08 |
| 1104121490 | Fort Payne Hospital Corporation | General Acute Care Hospital | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2011-01-18 |
| Street Address |
200 MEDICAL CENTER DRIVE |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1750529327 | Gregory Shawn Wheeler | Nurse Practitioner | 200 Medical Center Drive, Fort Payne, AL 35968-3458 | 2009-02-04 |
| 1083810592 | Steve L Nunley | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967-0000 | 2007-06-22 |
| 1326169343 | Dekalb Radiology | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-04-03 |
| 1710030689 | Bradley M Cochran | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-01-22 |
| 1891848784 | Dekalb Radiologist Group, LLC | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-01-22 |
| 1376625863 | Dekalb Anesthesia Associates, LLC | Anesthesiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2006-10-20 |
| 1891703336 | Bart Mitchell Bailey | Anesthesiology | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-08-03 |
| 1568485480 | Billy Alfred Hodges | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-25 |
| 1396764395 | Fort Payne Clinic Corp. | Orthopaedic Surgery | 200 Medical Center Drive, Attn: Director of Physician Practices, Fort Payne, AL 35960 | 2006-07-19 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 35968 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334042 | Tuskegee University | Psychiatric Unit | 115 Basil O'oconnor Hall, Tuskegee, AL 36088-8184 | 2012-03-29 |
| 1043263221 | Affinity Hospital LLC | Psychiatric Unit | 3690 Grandview Pkwy, Birmingham, AL 35243-3326 | 2006-05-18 |
| 1548773450 | The Health Care Authority of The City of Eufaula | Psychiatric Unit | 820 W Washington St, Eufaula, AL 36027-1822 | 2017-11-14 |
| 1548787286 | The Troy Hospital Health Care Authority | Psychiatric Unit | 1330 Highway 231 S, Troy, AL 36081-3058 | 2017-08-24 |
| 1659725901 | Bbh Pbmc, LLC | Psychiatric Unit | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2016-04-22 |
| 1194179440 | Bbh Wbmc, LLC | Psychiatric Unit | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2016-04-22 |
| 1073967329 | Bbh Sbmc,llc | Psychiatric Unit | 1000 1st St N, Alabaster, AL 35007-8703 | 2016-04-22 |
| 1881048221 | Bbh Cbmc, LLC | Psychiatric Unit | 604 Stone Ave, Talladega, AL 35160-2217 | 2016-04-22 |
| 1811341290 | Bbh Bmc, LLC | Psychiatric Unit | 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | 2016-04-21 |
| 1669868923 | Prime Healthcare Services - Gadsden LLC | Psychiatric Unit | 600 S 3rd St, Gadsden, AL 35901-5304 | 2015-04-13 |
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| City | FORT PAYNE |
| Zip Code | 35968 |
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| 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.