# DALE MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DALE MEDICAL CENTER
- **Other names:** Dale Medical Center Profee
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407051063
- **Legal business name:** DALE MEDICAL CENTER
- **Authorized official:** MR. VERNON L. JOHNSON (CEO)
- **Authorized official phone:** (334) 774-2601

## Contact information

- **Practice address:** 126 HOSPITAL AVE, OZARK, AL 36360-2018
- **Practice address phone:** (334) 774-2601
- **Practice address fax:** (334) 443-0131
- **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 |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 12/11/2025
