Ivy Creek Of Elmore Hospitalist

LBN: Ivy Creek Of Elmore Llc
Ivy Creek Of Elmore Hospitalist is an health care organization with primary practice located at 500 Hospital Dr , Wetumpka AL 36092-1625. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Ivy Creek Of Elmore Llc can be contacted via phone (334) 567-4311, or through Bruce, Michael D via phone (334) 567-4311.

Contact Information

Primary practice address
500 Hospital Dr Wetumpka AL 36092-1625
Phone: (334) 567-4311
Fax: (334) 567-4312
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Michael D
Phone: (334) 567-4311

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1790093029
LBN Legal business name Ivy Creek Of Elmore Llc
DBA Doing business as Ivy Creek Of Elmore Hospitalist
Authorized official Bruce, Michael D
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2010
Last updated Apr 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790093029 NPPES
Alabama MEDICAID 122925
Alabama Other 01D0680545

Popular Providers