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Contact Information

DALE MEDICAL CENTER
126 HOSPITAL AVE
OZARK, AL36360-2018
 Phone: 334-774-2601
 Fax: 334-774-0258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DALE MEDICAL CENTER

NPI Number 1093721391
LBN Legal business name DALE MEDICAL CENTER
Authorized official CHRISTOPHER STEVENS - (PHCY DIR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 07/02/2010 - About 16 years ago
Identifiers
AL License # 130019
AL Medicaid HOS0021H
Other 0118516 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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