DALE MEDICAL CENTER (NPI# 1255435368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255435368 |
| Entity Type | Organization |
| Organization Name | DALE MEDICAL CENTER |
| Other Organization Name | DALE MEDICAL CENTER HOME HEALTH |
| Practice Address |
126 Hospital Ave Ozark AL 36360-2018 |
| Practice Telephone | 3347740750 |
| Practice Fax Number | 3347740265 |
| Mailing Telephone | 3347740750 |
| Mailing Fax Number | 3347740265 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | VERNON JOHNSON (CEO) |
| Authorized Official Telephone | 3347742601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | DAL017124 | 05 |
| Other Name | Type Code |
|---|---|
| Dale Medical Center Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1821363524 | Dale Medical Center | Family Medicine | 320 White Ave, Ozark, AL 36360-0908 | 2012-03-13 |
| 1346389632 | Dale Medical Center | Pediatrics | 322 White Ave, Ozark, AL 36360-0908 | 2007-02-05 |
| 1972603991 | Dale Medical Center | Hospice Care, Community Based | 368 James St, Ozark, AL 36360-2015 | 2006-09-22 |
| 1538275342 | Dale Medical Center | Family Medicine | 218 Hospital Ave Ste B, Ozark, AL 36360-2072 | 2006-08-22 |
| 1215479357 | Dale Medical Center | Medicare Defined Swing Bed Unit | 126 Hospital Ave, Ozark, AL 36360-2018 | 2016-11-07 |
| 1366724684 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2011-09-13 |
| 1033449467 | Dale Medical Center | Obstetrics & Gynecology | 2126 W Roy Parker Rd, Ste 204, Ozark, AL 36360-8566 | 2010-01-07 |
| 1164651568 | Dale Medical Center | Family Medicine | 218 Hospital Ave, Ste B, Ozark, AL 36360-2064 | 2009-07-07 |
| 1598994279 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Ste 203, Ozark, AL 36360-8566 | 2009-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DALE MEDICAL CENTER | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Street Address |
126 HOSPITAL AVE |
| City | OZARK |
| State | AL |
| Zip Code | 36360-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449429 | Wiregrass Radiological Consultants | Radiology | 126 Hospital Ave, Ozark, AL 36360-2018 | 2005-12-30 |
| 1841820511 | Amber Danielle Murray | Dietitian, Registered | 126 Hospital Ave, Ozark, AL 36360-2080 | 2020-01-22 |
| 1215479357 | Dale Medical Center | Medicare Defined Swing Bed Unit | 126 Hospital Ave, Ozark, AL 36360-2018 | 2016-11-07 |
| 1215388160 | Kevin Shiver | Nurse Practitioner | 126 Hospital Ave, Ozark, AL 36360-2018 | 2016-06-22 |
| 1750608949 | Southland Hospitalist At Ozark, Pl | Emergency Medicine | 126 Hospital Ave, Ozark, AL 36360-2018 | 2010-04-27 |
| 1144545500 | Southland Medical Solutions of Ozark, Pl | Emergency Medicine | 126 Hospital Ave, Ozark, AL 36360-2018 | 2010-03-29 |
| 1568792778 | Crimson Diagnostics | Clinic/Center | 126 Hospital Ave, Ozark, AL 36360-2018 | 2010-01-11 |
| 1952573545 | Richard E Lucky | Nurse Anesthetist, Certified Registered | 126 Hospital Ave, Ozark, AL 36360-2018 | 2008-03-24 |
| 1700081254 | Dale Medical Center | Nurse Anesthetist, Certified Registered | 126 Hospital Ave, Ozark, AL 36360-2018 | 2007-06-15 |
| 1407051063 | Dale Medical Center | Family Medicine | 126 Hospital Ave, Ozark, AL 36360-2018 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385906 | Wei Xuan Lim | Behavior Technician | 850 Andrews Ave, Suite 2, Ozark, AL 36360 | 2020-08-03 |
| 1831638220 | Rebekah Layne Windsor | Occupational Therapist | 193 Sam Lisenby Road, Sumlar Therapy, Ozark, AL 36360 | 2017-02-17 |
| 1003264136 | Dale Medical Center | Nurse Practitioner | 633 South Union Ave, Ozark, AL 36360 | 2016-05-31 |
| 1578948436 | Jones Mobile Phlebotomy Servies, Inc. | Technician, Pathology | 343 Acker Ave, Ozark, ALABAMA 36360 | 2015-07-21 |
| 1740623701 | Dr. Tucker and Associates, Inc. | Counselor | 1566 A East Andrews Avenue, Ozark, AL 36360 | 2013-04-09 |
| 1093036592 | City of Ozark City Clerk | Ambulance | 188 Peacock Parkway, Ozark, AL 36360 | 2010-06-18 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1821295940 | Ozark City | Local Education Agency (LEA) | 1044 Andrews Ave, Ozark, AL 36360 | 2007-07-02 |
| 1548303761 | Dale County Health Dept Mat | Public Health or Welfare | 200 Katherine Avenue, Ozark, AL 36360 | 2007-02-15 |
| 1952462954 | Alan Conrad | Chiropractor | 1817 Andrews Ave, Ozark, AL 36360 | 2006-12-13 |
| Find all providers in zip 36360 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246966 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 257 Airport Road, Suite D, Ozark, AR 72949-9266 | 2006-04-25 |
| 1407396393 | Haven Physical Therapy | Home Health | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-02-27 |
| 1275895542 | Haven Home Health, LLC | Home Health | 850 N 25th St, Ozark, MO 65721-8033 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1578163143 | Leisha Jenkins Henry | Home Health | 6722 Van Buren St # Condo3, Daphne, AL 36526-7584 | 2020-10-31 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1366058596 | Heart Warming Angels Homecare LLC | Home Health | 1716 Patterson St Nw, Huntsville, AL 35816-1628 | 2020-09-22 |
| 1801402318 | Merida Care LLC | Home Health | 3943 Richard Arrington Jr Blvd N, Birmingham, AL 35234-2453 | 2020-09-20 |
| 1851906036 | Loving Care Home Health LLC | Home Health | 1715 7th Ave N, Bessemer, AL 35020-4856 | 2020-09-14 |
| 1679186001 | Silvannia Waters | Home Health | 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 | 2020-08-25 |
| 1740891910 | Jessica Celeste Ealey | Home Health | 271 Watson Bridge Rd, Kinsey, AL 36303-7629 | 2020-08-12 |
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1669090809 | Takita Green | Home Health | 323 Olympia Dr, Homewood, AL 35209-3743 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.