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Ivy Creek Of Elmore, Llc
Preferred Provider Organization in Wetumpka, Alabama
NPI 1093838880

Ivy Creek Of Elmore, Llc is a Preferred Provider Organization based in Wetumpka, AL. Ivy Creek Of Elmore, Llc practices in Wetumpka, AL. The NPI Number for Ivy Creek Of Elmore, Llc is 1093838880 and holds a License No. 00011939 (Alabama).

The current practice location address for Ivy Creek Of Elmore, Llc is 74186 Tallassee Hwy, Wetumpka, AL and can be reached out via phone at 334-567-0346 and via fax at 334-567-0855.

Location: 74186 Tallassee Hwy, Wetumpka, AL, 36092-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093838880
Provider Name
Ivy Creek Of Elmore, Llc
Credential
Provider Entity Type
Organization
Address
74186 Tallassee Hwy, Wetumpka, AL, 36092-1625
Phone Number
334-567-0346
Fax Number
334-567-0855
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529913110 05 AL
institution
Provider Business Practice Location Address Details
Address
74186 Tallassee Hwy
City
Wetumpka
State
Alabama
Zip
36092-5643
Phone Number
334-567-0346
Fax Number
334-567-0855
person
Provider Business Mailing Address Details
Address
74186 Tallassee Hwy
City
Wetumpka
State
Alabama
Zip
36092-5643
Phone Number
334-567-0346
Fax Number
334-567-0855
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
00011939 (Alabama)
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 receives care at a lower benefit level.
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