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Ivycreek Of Elmore Llc
Preferred Provider Organization in Wetumpka, Alabama
NPI 1366565152

Ivycreek Of Elmore Llc is a Preferred Provider Organization based in Wetumpka, AL. Ivycreek Of Elmore Llc practices in Wetumpka, AL. The NPI Number for Ivycreek Of Elmore Llc is 1366565152 and holds a License No. (Alabama).

The current practice location address for Ivycreek Of Elmore Llc is 41 Cambridge Ct, Wetumpka, AL and can be reached out via phone at 334-567-3309 and via fax at 334-567-3361.

Location: 41 Cambridge Ct, Wetumpka, AL, 36092-0003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366565152
Provider Name
Ivycreek Of Elmore Llc
Credential
Provider Entity Type
Organization
Address
41 Cambridge Ct, Wetumpka, AL, 36092-0003
Phone Number
334-567-3309
Fax Number
334-567-3361
Provider Enumeration Date
04/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540003434 05 AL
institution
Provider Business Practice Location Address Details
Address
41 Cambridge Ct
City
Wetumpka
State
Alabama
Zip
36093-1261
Phone Number
334-567-3309
Fax Number
334-567-3361
person
Provider Business Mailing Address Details
Address
41 Cambridge Ct
City
Wetumpka
State
Alabama
Zip
36093-1261
Phone Number
334-567-3309
Fax Number
334-567-3361
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
22736 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
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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