# DALE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OZARK MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821363524
- **Legal business name:** OZARK MEDICAL CLINIC
- **Authorized official:** MR. BRAD HULL CFO (CFO)
- **Authorized official phone:** (334) 774-2601

## Contact information

- **Practice address:** 320 WHITE AVE, OZARK, AL 36360-0908
- **Practice address phone:** (334) 443-0400
- **Practice address fax:** (334) 443-0402
- **Mailing address:** PO BOX 863, OZARK, AL 36361-0863
- **Mailing address phone:** (334) 443-0400
- **Mailing address fax:** (334) 443-0402

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/19/2012