DEKALB REGIONAL MEDICAL CENTER
NPI 1104121490
Clinic/Center - Recovery Care in Fort Payne, AL
NPI Status: Active since January 18, 2011
Contact Information
200 MEDICAL CENTER DR SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 845-3150
- Organization
- Clinic/Center
- Recovery Care
- CLIA Number: 01D0303688
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About DEKALB REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Dekalb Regional Medical Center, a provider established in Fort Payne, Alabama operating as a Clinic/center, focusing in recovery care . The healthcare provider is registered in the NPI registry with number 1104121490 assigned on January 2011. The practitioner's primary taxonomy code is 261QR0800X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Dekalb Regional Medical Center. The authorized official of this NPI record is Laurie Holtsford (Auth Official/dir Business Office)
- NPI
- 1104121490
- Provider Legal Name
- FORT PAYNE HOSPITAL CORPORATION
- Other Organization Name
- DEKALB REGIONAL MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 MEDICAL CENTER DR SW FORT PAYNE, AL 35968
- Location Phone
- (256) 845-3150
- Mailing Address
- 200 MEDICAL CENTER DR SW FORT PAYNE, AL 35968
- Mailing Phone
- (256) 845-3150
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2011
- Last Update Date
- 01-18-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Recovery Care
- Taxonomy Code
- 261QR0800X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119736 - PEC | MEDICAID (05) | AL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0303688
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- SUSAN SHIRLEY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dekalb Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104121490, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104121490, enumerated as an "organization" on January 18, 2011.
The provider is located at 200 MEDICAL CENTER DR SW FORT PAYNE, AL 35968 and the phone number is (256) 845-3150.
Clinic/Center with taxonomy code 261QR0800X and a focus in Recovery Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
