Active NPI
Dale Medical Center
- Family Medicine Physician
- Ozark, AL
National Provider Identifier
1821363524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DALE MEDICAL CENTER
- Practice address
- 320 White Ave
Ozark, AL 36360-0908 - Phone
- (334) 443-0400
- Fax
- (334) 443-0402
- NPI assigned
- Mar 13, 2012
- Organization subpart
- Yes
- Parent organization
- OZARK MEDICAL CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Hull, CFO
- Title
- Cfo
- Phone
- (334) 774-2601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
320 White Ave
Ozark, AL 36360-0908
Mailing address
PO Box 863
Ozark, AL 36361-0863
Phone (334) 443-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Other NPIs on the same Medicare enrollment 14
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- United Probill
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Ozark, AL
- NPI 1629055330
-
- Family Medicine Physician
- Ozark, AL
- NPI 1497920276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1821363524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "OZARK",
"state": "AL",
"postal_code": "363610863",
"telephone_number": "334-443-0400",
"fax_number": "334-443-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WHITE AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363600908",
"telephone_number": "334-443-0400",
"fax_number": "334-443-0402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OZARK MEDICAL CLINIC",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "HULL",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "334-774-2601",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.