Organization
DALE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON L JOHNSON (CHIEF EXECUTIVE OFFICER)
(334) 774-2601
Entity
Organization
Contact information
Practice address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 774-2601
Mailing address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 774-2601
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11793
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114
BCBS OF ALABAMA
AL
05
—
HOS0021
—
AL
Enumeration date
10/17/2006
Last updated
11/26/2007
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