Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY CREEK OF ELMORE, LLC
Active OrganizationIVY CREEK OF ELMORE, LLC is a Preferred Provider Organization organization located in WETUMPKA, Alabama. NPI 1093838880 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · WETUMPKA, AL
Registration Details
- NPI Number
- 1093838880
- Provider Type
- Organization
- NPI Issued
- Apr 9, 2007 (19.371177775915 yrs)
- Last Updated
- Aug 22, 2020
- License
-
00011939 (AL)
Practice Information
- Address
-
74186 TALLASSEE HWYWETUMPKA, AL, 360925643Browse AL providers · Browse ZIP 36092
- Phone
- 3345670346
- Fax
- 3345670855
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.