1366565152 IVYCREEK OF ELMORE LLC

Rural Health Clinic/Center

Active

Basic Information

Organization Name
IVYCREEK OF ELMORE LLC
Enumeration Date
April 9, 2007
Last Update
October 1, 2012
Authorized Official
MR. MICHAEL D BRUCE
CEO
Phone: (334) 567-4311

Practice Location

Address
41 CAMBRIDGE CT
WETUMPKA, AL 360931261
Phone
(334) 567-3309
Fax
(334) 567-3361

Mailing Address

Address
PO BOX 130
WETUMPKA, AL 360920003
Phone
(334) 567-4311
Fax
(334) 567-4312

Specialties & Taxonomies

Specialty Code Classification License State Primary
Preferred Provider Organization
305R00000X Preferred Provider Organization 22736 AL No
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
540003434 05 AL N/A

Frequently Asked Questions

What is IVYCREEK OF ELMORE LLC's NPI number?
IVYCREEK OF ELMORE LLC's NPI number is 1366565152.
Which doctor has NPI number 1366565152?
The doctor with NPI number 1366565152 is IVYCREEK OF ELMORE LLC.
What is IVYCREEK OF ELMORE LLC's practice address?
IVYCREEK OF ELMORE LLC's practice address is 41 CAMBRIDGE CT, WETUMPKA, AL, 360931261.
Which doctor practices at 41 CAMBRIDGE CT, WETUMPKA, AL, 360931261?
IVYCREEK OF ELMORE LLC practices at 41 CAMBRIDGE CT, WETUMPKA, AL, 360931261.
What is IVYCREEK OF ELMORE LLC's mailing address?
IVYCREEK OF ELMORE LLC's mailing address is PO BOX 130, WETUMPKA, AL, 360920003.
What is IVYCREEK OF ELMORE LLC's phone number?
IVYCREEK OF ELMORE LLC's phone number is (334) 567-3309.
Who is (334) 567-3309?
(334) 567-3309 is the phone number for IVYCREEK OF ELMORE LLC.
What is IVYCREEK OF ELMORE LLC's specialty?
IVYCREEK OF ELMORE LLC's specialty is Rural Health Clinic/Center.
What type of doctor is IVYCREEK OF ELMORE LLC?
IVYCREEK OF ELMORE LLC is a Rural Health Clinic/Center.
Is IVYCREEK OF ELMORE LLC a Rural Health?
Yes, IVYCREEK OF ELMORE LLC is a Rural Health.
Is IVYCREEK OF ELMORE LLC still practicing?
Yes, IVYCREEK OF ELMORE LLC is currently practicing.
Is IVYCREEK OF ELMORE LLC accepting new patients?
IVYCREEK OF ELMORE LLC may be accepting new patients. Please call their office at (334) 567-3309 to inquire about availability.
Is NPI 1366565152 still active?
Yes, NPI 1366565152 is currently active.
Where does IVYCREEK OF ELMORE LLC practice?
IVYCREEK OF ELMORE LLC practices in WETUMPKA, AL.