DALE MEDICAL CENTER (NPI# 1215479357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215479357 |
| Entity Type | Organization |
| Organization Name | DALE MEDICAL CENTER |
| Other Organization Name | DALE MEDICAL CENTER REHAB PROGRAM |
| Practice Address |
126 Hospital Ave Ozark AL 36360-2018 |
| Practice Telephone | 3347742601 |
| Practice Fax Number | 3347747600 |
| Mailing Telephone | 3347742601 |
| Mailing Fax Number | 3347747600 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | BRADLEY HULL (CFO) |
| Authorized Official Telephone | 3347742601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Dale Medical Center Rehab Program | 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 |
| 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 |
| 1912169038 | Dale Medical Center | Surgery | 2126 W Roy Parker Rd, Suite 207, Ozark, AL 36360-8566 | 2008-06-30 |
| 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 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710958582 | Mercy Hospital Ozark | Medicare Defined Swing Bed Unit | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477835825 | United Florala, Inc | Medicare Defined Swing Bed Unit | 24273 Fifth Avenue, Florala, AL 36442 | 2011-09-12 |
| 1750480406 | Crenshaw County Health Care Authority | Medicare Defined Swing Bed Unit | 101 Hospital Cir, Luverne, AL 36049-7329 | 2006-09-21 |
| 1255959144 | Fort Payne Hospital Corporation | Medicare Defined Swing Bed Unit | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-07-08 |
| 1114548930 | Geneva County Healthcare Authority, Inc. | Medicare Defined Swing Bed Unit | 1200 W Maple Ave, Geneva, AL 36340-1642 | 2020-05-04 |
| 1962056143 | Mizell Memorial Hospital | Medicare Defined Swing Bed Unit | 702 N Main St, Opp, AL 36467-1626 | 2019-07-26 |
| 1659868297 | Floyd Cherokee Medical Center LLC | Medicare Defined Swing Bed Unit | 400 Northwood Dr, Centre, AL 35960-1023 | 2018-04-19 |
| 1801309711 | The Health Care Authority of The City of Eufaula | Medicare Defined Swing Bed Unit | 820 W Washington St, Eufaula, AL 36027-1822 | 2017-11-14 |
| 1821511866 | St. Vincent's St. Clair, LLC | Medicare Defined Swing Bed Unit | 7063 Veterans Pkwy, Pell City, AL 35125-5114 | 2017-07-21 |
| 1447772751 | Tanner Medical Center Alabama Inc | Medicare Defined Swing Bed Unit | 1032 Main St South, Wedowee, AL 36278-5139 | 2017-07-10 |
| 1083157275 | Qhg of Enterprise Inc | Medicare Defined Swing Bed Unit | 400 N Edwards St, Enterprise, AL 36330-2510 | 2016-11-21 |
| 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.