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DEKALB REGIONAL MEDICAL CENTER
NPI 1104121490
Clinic/Center - Recovery Care in Fort Payne, AL

Active since January 18, 2011CLIA 01D0303688 · Accreditation
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968(256) 845-3150 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dekalb Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEKALB REGIONAL MEDICAL CENTER (NPI 1104121490) is a healthcare organization registered as a recovery care in Fort Payne, Alabama and active in the NPI registry since January 2011. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Laurie Holtsford, Auth Official/dir Business Office, as its authorized official.

NPPES Registry Identity

NPI1104121490
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameFORT PAYNE HOSPITAL CORPORATION
Location Address200 MEDICAL CENTER DR SWFort Payne, AL 35968-3458
Mailing Address200 Medical Center Dr SwFort Payne, AL 35968-3458 · (256) 845-3150
Phone(256) 845-3150
Organization SubpartNo
Authorized OfficialLaurie HoltsfordAuth Official/dir Business Office · (615) 465-7466
Enumeration DateJanuary 18, 2011
✔ NPI 1104121490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
200 MEDICAL CENTER DR SW, Fort Payne, AL 35968
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Other Names 1

Doing Business AsDekalb Regional Medical Center

Other Identifiers 1

Medicaid119736 - PECAL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0303688

Dekalb Regional Medical Center · Fort Payne, AL
Active · expires Jan 2, 2027
CLIA Number01D0303688
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorKendall Price
Laboratory Phone(256) 845-3150
Laboratory LocationDekalb Regional Medical Center200 Medical Center Drive, Fort Payne, AL 35968
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLSTOWN EMERGENCY PHYSICIANS
Emergency Medicine
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (259) 997-2305
SHANNON SIMPSON MORGAN MD
Family Medicine
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2150
DIANE BURNETT CRISMAN OTR/L
Occupational Therapist
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-6420
TONYA LEIGH FOX CRNA
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-5605
HH HEALTH SYSTEM - DEKALB, LLC
Medicare Defined Swing Bed Unit
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 997-2145
NICHOLAS CHIVERS CRNA
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150
ANDREW THOMAS HUNTER
Nurse Anesthetist, Certified Registered
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150
FORT PAYNE HOSPITAL CORPORATION
Medicare Defined Swing Bed Unit
200 MEDICAL CENTER DR SW
FORT PAYNE, AL 35968
Dekalb County (256) 845-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Payne Hospital Corporation's NPI number?

The NPI number for Fort Payne Hospital Corporation is 1104121490. It was assigned to this organization in the NPPES registry on January 18, 2011. The provider is doing business as Dekalb Regional Medical Center.

Where is Fort Payne Hospital Corporation located?

Fort Payne Hospital Corporation is located at 200 Medical Center Dr SW, Fort Payne, AL 35968. The listed phone number is (256) 845-3150.

What is Fort Payne Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

Does Fort Payne Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0303688) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Payne Hospital Corporation was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.