NPIMap

Organization Active NPI

Dale Medical Center

  • Institutional Pharmacy
  • Ozark, AL
National Provider Identifier
1093721391
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
130019 Issued in AL
Legal business name
DALE MEDICAL CENTER
Doing business as
Dale Medical Center
Practice address
126 Hospital Ave
Ozark, AL 36360-2018
Phone
(334) 774-2601
Fax
(334) 774-0258
NPI assigned
Jul 31, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Stevens, RPHNPI 1073295069
Title
Phcy Dir
Phone
(334) 774-2601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Institutional Pharmacy 3336I0012X 130019 AL Primary

Addresses

Primary practice location

126 Hospital Ave
Ozark, AL 36360-2018

Mailing address

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

Other identifiers 2

IdentifierTypeStateIssuer
HOS0021HMedicaidAL
0118516OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DALE MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dong Lim Ji MD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1093721391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HOSPITAL AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602018",
            "telephone_number": "334-774-2601",
            "fax_number": "334-774-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HOSPITAL AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602018",
            "telephone_number": "334-774-2601",
            "fax_number": "334-774-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHCY DIR",
        "authorized_official_telephone_number": "334-774-2601",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "AL",
            "license": "130019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0021H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0118516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.