Statmed

LBN: Dale Medical Center
Statmed is an health care organization with primary practice located at 1519 Andrews Ave , Ozark AL 36360-3719. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Dale Medical Center can be contacted via phone (334) 774-7610, or through Johnson, Vernon L. via phone (334) 774-2601.

Contact Information

Primary practice address
1519 Andrews Ave Ozark AL 36360-3719
Phone: (334) 774-7610
Fax: (334) 774-7251
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Vernon L.
Phone: (334) 774-2601

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1497893408
LBN Legal business name Dale Medical Center
DBA Doing business as Statmed
Authorized official Johnson, Vernon L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Apr 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497893408 NPPES
Alabama MEDICAID 529908700

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