Organization · Type 2 NPI
Ivycreek of Elmore LLC
Rural Health Clinic/Center · Wetumpka, AL
NPI number
1366565152
Active
Practice location
41 Cambridge Ct
Wetumpka, AL 36093-1261
Fax (334) 567-3361
Mailing address
PO Box 130
Wetumpka, AL 36092-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Preferred Provider Organization | 305R00000X | 22736 (AL) |
Rural Health Clinic/Center: Definition to come...
5 other providers at this address
- Ivycreek of Elmore LLCRural Health Clinic/Center Wetumpka, AL NPI 1396066650
- Bruce Lamar Kent, MDFamily Medicine Physician Wetumpka, AL NPI 1336229608
- Hayley Guthrie, CRNPFamily Nurse Practitioner Wetumpka, AL NPI 1497019731
- Martin Anthony Lyons Jr., MDFamily Medicine Physician Wetumpka, AL NPI 1356640379
- Sharon M. Hamlin, CRNPFamily Nurse Practitioner Wetumpka, AL NPI 1790060341
Other rural health clinic/center providers in Wetumpka
About NPI 1366565152
Ivycreek of Elmore LLC's National Provider Identifier is 1366565152, issued on Apr 9, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wetumpka, AL. The record was last updated on Oct 1, 2012.