Organization · Type 2 NPI
Ivy Creek Family Care
Clinic/Center · Autaugaville, AL
NPI number
1972850741
Active
Practice location
201 S Washington St
Autaugaville, AL 36003-2535
Fax (334) 361-7858
Mailing address
PO Box 490
Autaugaville, AL 36003-0490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1972850741
Ivy Creek Family Care's National Provider Identifier is 1972850741, issued on Aug 10, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Autaugaville, AL. The record was last updated on Sep 28, 2012.