# DALE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DALE MEDICAL CENTER
- **Other names:** South Union Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003264136
- **Legal business name:** DALE MEDICAL CENTER
- **Authorized official:** MR. VERNON L. JOHNSON (CEO)
- **Authorized official phone:** (334) 774-2601

## Contact information

- **Practice address:** 633 SOUTH UNION AVE, OZARK, AL 36360
- **Practice address phone:** (334) 774-7572
- **Practice address fax:** (334) 774-6237
- **Mailing address:** PO BOX 863, OZARK, AL 36361-0863
- **Mailing address phone:** (334) 443-1211
- **Mailing address fax:** (334) 443-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 04/11/2018