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DALE MEDICAL CENTER NPI 1407051063


NPI Information

NPI: 1407051063
Provider Name: DALE MEDICAL CENTER

Other Name: DALE MEDICAL CENTER PROFEE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
126 HOSPITAL AVE
OZARK, AL
ZIP 36360
Phone: (334) 774-5116
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DALE MEDICAL CENTER is an internal medicine in Ozark, AL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DALE MEDICAL CENTER NPI is 1407051063. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Dale Medical Center Profee.

The provider's business location address is:

126 HOSPITAL AVE
OZARK, AL
ZIP 36360-018
Phone: (334) 774-5116
Fax: (334) 774-5110

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 enumeration date for this NPI number is 6/15/2007 and was last updated on 10/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
3363LF0000XNurse PractitionerFamilyNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5208000000XPediatricsNo
6207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529924070MEDICAIDALABAMA

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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