| Hh Health System - Dekalb Rhc, Llc | |
|
415 Medical Center Dr Sw Fort Payne AL 35968-3421 | |
| (256) 997-2145 | |
| (256) 997-2512 |
| Full Name | Hh Health System - Dekalb Rhc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 Medical Center Dr Sw, Fort Payne, Alabama |
| Authorized Official Name and Position | Clinton Carter (CFO) |
| Authorized Official Contact | 2562651000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hh Health System - Dekalb Rhc, Llc 101 Sivley Rd Sw Huntsville AL 35801-4421 Ph: (256) 265-1000 | Hh Health System - Dekalb Rhc, Llc 415 Medical Center Dr Sw Fort Payne AL 35968-3421 Ph: (256) 997-2145 |
| NPI Number | 1053172874 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 2769822568 |
|---|---|
| Medicare Enrollment ID | O20240426001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053172874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Daniel M Mince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073568812 PECOS PAC ID: 4486648078 Enrollment ID: I20040414001577 |
| Provider Name | Lyza T Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518912369 PECOS PAC ID: 1658366810 Enrollment ID: I20040416001243 |
| Provider Name | Jason A Ham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245560796 PECOS PAC ID: 5395929889 Enrollment ID: I20110407000291 |
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