DALE MEDICAL CENTER (NPI# 1700081254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700081254 |
| Entity Type | Organization |
| Organization Name | DALE MEDICAL CENTER |
| Other Organization Name | DMC ANESTHESIA |
| Practice Address |
126 Hospital Ave Ozark AL 36360-2018 |
| Mailing Address |
Po Box 863 Ozark AL 36361-0863 |
| Practice Telephone | 3347742601 |
| Practice Fax Number | 3347748863 |
| Mailing Telephone | 3344431211 |
| Mailing Fax Number | 3344430131 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | MR. VERNON L. JOHNSON (CEO) |
| Authorized Official Telephone | 3347742601 |
| Is Organization Subpart | Y |
| Parent Organization Name | DALE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS COMMON PAY NUMBER | W090 | 01 |
| AL | 529908650 | 05 |
| Other Name | Type Code |
|---|---|
| DMC Anesthesia | Other Name - Individual/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 |
| 1407051063 | Dale Medical Center | Family Medicine | 126 Hospital Ave, Ozark, AL 36360-2018 | 2007-06-15 |
| 1750447439 | Terri A Lee | Speech-Language Pathologist | 126 Hospital Ave, Ozark, AL 36360-2018 | 2006-12-28 |
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881741635 | Eddie Smith | Nurse Anesthetist, Certified Registered | 1114 Ferry Rd, Ozark, AR 72949-2591 | 2007-01-04 |
| 1952573545 | Richard E Lucky | Nurse Anesthetist, Certified Registered | 126 Hospital Ave, Ozark, AL 36360-2018 | 2008-03-24 |
| 1902863657 | Trey B Burg | Nurse Anesthetist, Certified Registered | 126 Hospital Ave, Ozark, AL 36360-2018 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1740838820 | Kristi Kell Falco | Nurse Anesthetist, Certified Registered | 200 Broad St # 300, Gadsden, AL 35901-3754 | 2019-08-31 |
| 1013570803 | Amber Lynne Denaburg | Nurse Anesthetist, Certified Registered | 261 County Road 1403, Cullman, AL 35058-0596 | 2019-04-17 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1366906521 | Tanner Medical Center Alabama Inc | Nurse Anesthetist, Certified Registered | 1032 Main St S, Wedowee, AL 36278-7440 | 2019-01-22 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| 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.