340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH010021 DALE MEDICAL CENTER (Active)
Print
Main Details
Name
DALE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010021
Medicare Provider Number
010021
Additional Details
Current Program Status
Active
Registration Date
12/15/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/15/2009
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Dale Medical Center
Rick Wright, CFO
(334) 774-2601 Ext: 1256
Primary Contact
Dale Medical Center
Sandra Peters, Medical Records Director
(334) 774-2601 Ext: 1427
Addresses
Street Address
126 HOSPITAL AVENUE
OZARK, AL 36360
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session