institution
Ivy Creek Of Tallapoosa, Llc
Rural Acute Care Hospital in Dadeville, Alabama
NPI 1598783904

Ivy Creek Of Tallapoosa, Llc is a Rural Acute Care Hospital based in Dadeville, AL and is specialized in Rural. Ivy Creek Of Tallapoosa, Llc practices in Dadeville, AL. The NPI Number for Ivy Creek Of Tallapoosa, Llc is 1598783904 and holds a License No. 11872 (Alabama).

The current practice location address for Ivy Creek Of Tallapoosa, Llc is 201 Mariarden Rd, Dadeville, AL and can be reached out via phone at 256-825-7821 and via fax at 256-825-5899.

Location: 201 Mariarden Rd, Dadeville, AL, 36853-6244
institution
Provider Profile Details
NPI Number
1598783904
Provider Name
Ivy Creek Of Tallapoosa, Llc
Credential
Provider Entity Type
Organization
Address
201 Mariarden Rd, Dadeville, AL, 36853-6244
Phone Number
256-825-7821
Fax Number
256-825-5899
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01D0641802 01 AL CLIA
529916200 05 AL
BCBS 01 AL BLUE CROSS BLUE SHIELD
HOS0052H 05 AL
institution
Provider Business Practice Location Address Details
Address
201 Mariarden Rd
City
State
Zip
36853-6244
Phone Number
256-825-7821
Fax Number
256-825-5899
person
Provider Business Mailing Address Details
Address
201 Mariarden Rd
City
State
Zip
36853-6244
Phone Number
256-825-7821
Fax Number
256-825-5899
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
License No.
11872 (Alabama)
Definition
Definition to come...
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