Ivy Creek Of Tallapoosa Llc in Dadeville - Rural Health
Ivy Creek Of Tallapoosa Llc - NPI 1932130002
Ivy Creek Of Tallapoosa Llc is a Rural Health in Dadeville, Alabama. Ivy Creek Of Tallapoosa Llc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Ivy Creek Of Tallapoosa Llc is 1932130002. The last update date is 2022-04-05.
Ivy Creek Of Tallapoosa Llc's current location address is Po Box 129, Dadeville, Alabama. You can contact this provider via phone number 2568257871 and fax number 2568255742. The mailing address for Ivy Creek Of Tallapoosa Llc is Po Box 129, Dadeville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ivy Creek Of Tallapoosa Llc |
|---|---|
| Address | Po Box 129, Dadeville, Alabama |
| Phone Number | 2568257871 |
| Fax Number | 2568255742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bruce D Michael |
| Telephone Number | 3345674311 |
NPI Number Detail
| NPI Number | 1932130002 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | Po Box 129 |
|---|---|
| City | Dadeville |
| State | Alabama (AL) |
| Post Code | 368530129 |
| Phone Number | 2568257871 |
| Fax Number | 2568255742 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 540003420 | AL | -- | |
| 01D0920584 | AL | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ivy Creek Of Tallapoosa Llc by the Centers for Medicare & Medicaid Services?
The Ivy Creek Of Tallapoosa Llc has been issued the NPI (National Provider Identifier) 1932130002, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ivy Creek Of Tallapoosa Llc is physically located?
The Ivy Creek Of Tallapoosa Llc is physically situated at the following address: Po Box 129, Dadeville, AL, 368530129.
What is Ivy Creek Of Tallapoosa Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ivy Creek Of Tallapoosa Llc is Rural Health, and the taxonomy code that categorizes this field of expertise is 261Qr1300X.
On what date did the Ivy Creek Of Tallapoosa Llc receive the assignment of its 1932130002 from the Centers for Medicare & Medicaid Services?
The Ivy Creek Of Tallapoosa Llc was issued its 1932130002 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Ivy Creek Of Tallapoosa Llc's information last updated?
The Ivy Creek Of Tallapoosa Llc's information was last updated on 2022-04-05.