Ivycreek Of Elmore Llc in Wetumpka - Rural Health
Ivycreek Of Elmore Llc - NPI 1366565152
Ivycreek Of Elmore Llc is a Rural Health in Wetumpka, Alabama. Ivycreek Of Elmore Llc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Ivycreek Of Elmore Llc is 1366565152. The last update date is 2012-10-01.
Ivycreek Of Elmore Llc's current location address is Po Box 130, Wetumpka, Alabama. You can contact this provider via phone number 3345674311 and fax number 3345674312. The mailing address for Ivycreek Of Elmore Llc is Po Box 130, Wetumpka, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ivycreek Of Elmore Llc |
|---|---|
| Address | Po Box 130, Wetumpka, Alabama |
| Phone Number | 3345674311 |
| Fax Number | 3345674312 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bruce D Michael |
| Telephone Number | 3345674311 |
NPI Number Detail
| NPI Number | 1366565152 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | Po Box 130 |
|---|---|
| City | Wetumpka |
| State | Alabama (AL) |
| Post Code | 360920003 |
| Phone Number | 3345674311 |
| Fax Number | 3345674312 |
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 |
|---|---|---|---|
| 540003434 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ivycreek Of Elmore Llc by the Centers for Medicare & Medicaid Services?
The Ivycreek Of Elmore Llc has been issued the NPI (National Provider Identifier) 1366565152 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ivycreek Of Elmore Llc?
The Ivycreek Of Elmore Llc is situated at Po Box 130, in the city of Wetumpka, state of AL, with the zip code 360920003.
What is the area of specialization for Ivycreek Of Elmore Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ivycreek Of Elmore Llc is Rural Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366565152 to Ivycreek Of Elmore Llc?
The Centers for Medicare & Medicaid Services assigned the 1366565152 to Ivycreek Of Elmore Llc on 2007-04-09.
When was the Ivycreek Of Elmore Llc's information last updated?
The Ivycreek Of Elmore Llc's information was last updated on 2012-10-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY