| Organization Name: | DALE MEDICAL CENTER |
| NPI Number: | 1972603991 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERNON L JOHNSON (CEO) |
| Mailing Address: | 368 James St Ozark |
| State: | AL US |
| Postal Code: | 363602015 |
| Phone Number: | 3347742601 |
| Fax Number: | 3347747600 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 02/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 11645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |