| Dekalb Regional Medical Center | |
|
200 Medical Center Drive Fort Payne AL 35968 | |
| (256) 845-3150 | |
| Not Available |
| Full Name | Dekalb Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 200 Medical Center Drive, Fort Payne, Alabama |
| Authorized Official Name and Position | Randy Michael Cooper (SVP FINANCE OPERATIONS/AO) |
| Authorized Official Contact | 6152213840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dekalb Regional Medical Center Po Box 277507 Atlanta GA 30384-7507 Ph: () - | Dekalb Regional Medical Center 200 Medical Center Drive Fort Payne AL 35968 Ph: (256) 845-3150 |
| NPI Number | 1639192891 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Medicare PECOS PAC ID | 9436160231 |
|---|---|
| Medicare Enrollment ID | O20080403000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639192891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 012866 (Alabama) | Primary |
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