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Ivy Creek Of Tallapoosa Llc
Medicare Defined Swing Bed Hospital Unit in Dadeville, Alabama
NPI 1659685345

Ivy Creek Of Tallapoosa Llc is a Medicare Defined Swing Bed Hospital Unit based in Dadeville, AL. Ivy Creek Of Tallapoosa Llc practices in Dadeville, AL. The NPI Number for Ivy Creek Of Tallapoosa Llc is 1659685345 and holds a License No. H6202 (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.

Location: 201 Mariarden Rd, Dadeville, AL, 36853-6244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659685345
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
Provider Enumeration Date
08/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010144 01 AL BC/BS
HOS0052H 05 AL
institution
Provider Business Practice Location Address Details
Address
201 Mariarden Rd
City
Dadeville
State
Alabama
Zip
36853-6244
Phone Number
256-825-7821
Fax Number
person
Provider Business Mailing Address Details
Address
201 Mariarden Rd
City
Dadeville
State
Alabama
Zip
36853-6244
Phone Number
256-825-7821
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
H6202 (Alabama)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
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