Organization · Type 2 NPI

Ivy Creek of Tallapoosa LLC

Medicare Defined Swing Bed Hospital Unit · Dadeville, AL

NPI number 1659685345 Active

Practice location

201 Mariarden Rd
Dadeville, AL 36853-6244

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	H6202 (AL)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

10 other providers at this address

NPI record

NPI: 1659685345
Entity type: Organization (Type 2)
Issued: Aug 5, 2010
Last updated: Aug 21, 2020
Status: Active
Subpart: Yes of Ivy Creek of Tallapoosa LLC

Other names

<unavail>
Lake Martin Community Hospital · doing business as
Lake Martin Community Hospital · doing business as

Authorized official

Mr. Michael Bruce
Owner/ceo
(256) 825-7821

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1659685345

Ivy Creek of Tallapoosa LLC's National Provider Identifier is 1659685345, issued on Aug 5, 2010. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Dadeville, AL. The record was last updated on Aug 21, 2020.