Organization · Type 2 NPI
Ivy Creek of Elmore, LLC
Rural Health Clinic/Center · Deatsville, AL
NPI number
1578060349
Active
Practice location
4412 Hogan Rd
Deatsville, AL 36022-3400
Fax (334) 543-4854
Mailing address
PO Box 130
Wetumpka, AL 36092-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1578060349
Ivy Creek of Elmore, LLC's National Provider Identifier is 1578060349, issued on Apr 9, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Deatsville, AL. The record was last updated on Mar 20, 2025.