NPIMap

Organization Active NPI

Dale Medical Center

  • General Acute Care Hospital
  • Ozark, AL
National Provider Identifier
1942380357
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11793 Issued in AL
Legal business name
DALE MEDICAL CENTER
Practice address
126 Hospital Ave
Ozark, AL 36360-2018
Phone
(334) 774-2601
NPI assigned
Oct 17, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mr. Vernon L Johnson
Title
Chief Executive Officer
Phone
(334) 774-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11793 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
HOS0021MedicaidAL
114OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031107000202 AL Part B Supplier - Clinic/Group Practice 3476466327 Receives reassigned benefits from 47 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ozark, AL
O20071221000456 AL Part A Provider - Hospital 3476466327 Practice locations: Ozark, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942380357. Details of each certification follow.

Hospital certification: CCN 010021

Legal name
DALE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 17, 2025
Beds
89
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Mar 20, 2007 in AL
Enrollment address
126 Hospital Avenue
Ozark, AL 36360-2018
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Dale Medical CenterCCN 010021 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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.

Interoperability endpoints

  • Direct secure messaging: dmcanesthesia@dmc.hdirect.net
  • Direct secure messaging: dmchomehealth@dmc.hdirect.net
  • Direct secure messaging: dmchospice@dmc.hdirect.net
  • Direct secure messaging: dmcpharmacy@dmc.hdirect.net
  • Direct secure messaging: dmcseniortherapeutichealth@dmc.hdirect.net
  • Direct secure messaging: dmcswingbed@dmc.hdirect.net

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vernon Johnson Individual Corporate Director Oct 4, 2007
W-2 Managing Employee Oct 17, 2012
Richard Wright Individual Corporate OfficerCfo Apr 21, 2023
W-2 Managing EmployeeCfo Apr 21, 2023
Miach McNab Individual Corporate Director Oct 4, 2007

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dale Medical CenterOzark, AL, CCN 01U021 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 31, 2017
Jan 15, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Dale Medical Center
    • Medicare Defined Swing Bed Hospital Unit
    • Ozark, AL
    • NPI 1215479357

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 127

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1942380357",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "334-774-2601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0021",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "114",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.