Ivy Creek Of Elmore, Llc in Wetumpka - Preferred Provider Organization
Ivy Creek Of Elmore, Llc - NPI 1093838880
Ivy Creek Of Elmore, Llc is a Preferred Provider Organization in Wetumpka, Alabama. Ivy Creek Of Elmore, Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Ivy Creek Of Elmore, Llc is 1093838880. The last update date is 2020-08-22.
Ivy Creek Of Elmore, Llc's current location address is 500 Hospital Dr, Wetumpka, Alabama. You can contact this provider via phone number 3345674311 and fax number 3345673361. The mailing address for Ivy Creek Of Elmore, Llc is 500 Hospital Dr, Wetumpka, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ivy Creek Of Elmore, Llc |
|---|---|
| Address | 500 Hospital Dr, Wetumpka, Alabama |
| Phone Number | 3345674311 |
| Fax Number | 3345673361 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Faulk Gordon |
| Telephone Number | 3345674311 |
NPI Number Detail
| NPI Number | 1093838880 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 Hospital Dr |
|---|---|
| City | Wetumpka |
| State | Alabama (AL) |
| Post Code | 360921625 |
| Phone Number | 3345674311 |
| Fax Number | 3345673361 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 11939 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529913110 | AL | -- |
Post Comment/ Review Below
What is the Ivy Creek Of Elmore, Llc's 1093838880?
The Ivy Creek Of Elmore, Llc's NPI (National Provider Identifier) Number is 1093838880. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ivy Creek Of Elmore, Llc is geographically located?
The Ivy Creek Of Elmore, Llc is physically situated at the following location: 500 Hospital Dr, Wetumpka, AL, 360921625.
What is Ivy Creek Of Elmore, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ivy Creek Of Elmore, Llc's specialized field of practice is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 305R00000X.
When was the Ivy Creek Of Elmore, Llc's 1093838880 issued?
The Ivy Creek Of Elmore, Llc's 1093838880 was issued on 2007-04-09.
When was the information related to Ivy Creek Of Elmore, Llc most recently updated or refreshed?
The details pertaining to the Ivy Creek Of Elmore, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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