institution
Ivy Creek Of Elmore, Llc
Rural Health Clinic/Center in Tallassee, Alabama
NPI 1558868323

Ivy Creek Of Elmore, Llc is a Rural Health Clinic/Center based in Wetumpka, AL and is specialized in Rural Health. Ivy Creek Of Elmore, Llc practices in Tallassee, AL. The NPI Number for Ivy Creek Of Elmore, Llc is 1558868323 and holds a License No. (Alabama).

The current practice location address for Ivy Creek Of Elmore, Llc is 2256 Gilmer Ave, Tallassee, AL and can be reached out via phone at 334-283-2542. You can also correspond with Ivy Creek Of Elmore, Llc through the mailing address at PO BOX 130, WETUMPKA, AL - 36092-0003 (mailing address contact number: 334-283-2542).

Location: 2256 Gilmer Ave, Tallassee, AL, 36092-0003
institution
Provider Profile Details
NPI Number
1558868323
Provider Name
Ivy Creek Of Elmore, Llc
Credential
Provider Entity Type
Organization
Address
2256 Gilmer Ave, Tallassee, AL, 36092-0003
Phone Number
334-283-2542
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231148 05 AL
01D2118261 01 AL CLIA
institution
Provider Business Practice Location Address Details
Address
2256 Gilmer Ave
City
State
Zip
36078-7114
Phone Number
334-283-2542
Fax Number
person
Provider Business Mailing Address Details
Address
2256 Gilmer Ave
City
State
Zip
36078-7114
Phone Number
334-283-2542
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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