1932130002 IVY CREEK OF TALLAPOOSA LLC

Rural Health Clinic/Center

Active

Basic Information

Organization Name
IVY CREEK OF TALLAPOOSA LLC
Enumeration Date
July 6, 2006
Last Update
April 5, 2022
Authorized Official
MICHAEL D BRUCE
CEO
Phone: (334) 567-4311

Practice Location

Address
301 MARIARDEN RD
DADEVILLE, AL 368530129
Phone
(256) 825-7871
Fax
(256) 825-5742

Mailing Address

Address
PO BOX 129
DADEVILLE, AL 368530129
Phone
(256) 825-7871
Fax
(256) 825-5742

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
540003420 05 AL N/A
01D0920584 01 AL CLIA

Frequently Asked Questions

What is IVY CREEK OF TALLAPOOSA LLC's NPI number?
IVY CREEK OF TALLAPOOSA LLC's NPI number is 1932130002.
Which doctor has NPI number 1932130002?
The doctor with NPI number 1932130002 is IVY CREEK OF TALLAPOOSA LLC.
What is IVY CREEK OF TALLAPOOSA LLC's practice address?
IVY CREEK OF TALLAPOOSA LLC's practice address is 301 MARIARDEN RD, DADEVILLE, AL, 368530129.
Which doctor practices at 301 MARIARDEN RD, DADEVILLE, AL, 368530129?
IVY CREEK OF TALLAPOOSA LLC practices at 301 MARIARDEN RD, DADEVILLE, AL, 368530129.
What is IVY CREEK OF TALLAPOOSA LLC's mailing address?
IVY CREEK OF TALLAPOOSA LLC's mailing address is PO BOX 129, DADEVILLE, AL, 368530129.
What is IVY CREEK OF TALLAPOOSA LLC's phone number?
IVY CREEK OF TALLAPOOSA LLC's phone number is (256) 825-7871.
Who is (256) 825-7871?
(256) 825-7871 is the phone number for IVY CREEK OF TALLAPOOSA LLC.
What is IVY CREEK OF TALLAPOOSA LLC's specialty?
IVY CREEK OF TALLAPOOSA LLC's specialty is Rural Health Clinic/Center.
What type of doctor is IVY CREEK OF TALLAPOOSA LLC?
IVY CREEK OF TALLAPOOSA LLC is a Rural Health Clinic/Center.
Is IVY CREEK OF TALLAPOOSA LLC a Rural Health?
Yes, IVY CREEK OF TALLAPOOSA LLC is a Rural Health.
Is IVY CREEK OF TALLAPOOSA LLC still practicing?
Yes, IVY CREEK OF TALLAPOOSA LLC is currently practicing.
Is IVY CREEK OF TALLAPOOSA LLC accepting new patients?
IVY CREEK OF TALLAPOOSA LLC may be accepting new patients. Please call their office at (256) 825-7871 to inquire about availability.
Is NPI 1932130002 still active?
Yes, NPI 1932130002 is currently active.
Where does IVY CREEK OF TALLAPOOSA LLC practice?
IVY CREEK OF TALLAPOOSA LLC practices in DADEVILLE, AL.