Contract Details
Fort Payne Hospital Corporation
Facility name
DeKalb Regional Medical Center
Provider ID
P000002523
NPI
1710901178
Tax ID
204370870
Effective Date
12/1/2008
Last Updated
6/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_011
Location Details
Address
200 Medical Center Drive
Fort Payne, AL 35968
United States
County
De Kalb
Phone
2568453150 (Phone)
Billing Details
Address
P.O. Box 277507
Atlanta, GA 30384
Billing Phone
2569972317
Specialty Type
Hospital, Acute Care
Map
Address