DALE MEDICAL CENTER NPI 1972603991

NPI Information

NPI: 1972603991
Provider Name: DALE MEDICAL CENTER

Doing Business As: COMMUNITY HOSPICE OF DALE MEDICAL CENTER

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
368 JAMES ST
OZARK, AL
ZIP 36360
Phone: (334) 774-2601
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DALE MEDICAL CENTER is a hospice care community based in Ozark, AL. DALE MEDICAL CENTER NPI is 1972603991. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Hospice Of Dale Medical Center.

The provider's business location address is:

368 JAMES ST
OZARK, AL
ZIP 36360-015
Phone: (334) 774-2601
Fax: (334) 774-7600

The provider's authorized official is Vernon L Johnson .
The authorized official title is Ceo and has the following contact phone number (334) 774-2601.

The CLIA number assigned to this NPI record is 01D1034665 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		11645	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012-540	OTHER	ALABAMA	BCBS
2	011628	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
3	PIC1628E	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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