Lake Martin Community Hospital

LBN: Ivy Creek Of Tallapoosa, Llc
Lake Martin Community Hospital is an health care organization with primary practice located at 201 Mariarden Rd , Dadeville AL 36853-6244. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Ivy Creek Of Tallapoosa, Llc can be contacted via phone (256) 825-7821, or through Bruce, Michael D via phone (334) 567-4311.

Contact Information

Primary practice address
201 Mariarden Rd Dadeville AL 36853-6244
Phone: (256) 825-7821
Fax: (256) 825-5899
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Michael D
Phone: (334) 567-4311

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 11872 Alabama

Profile Details

NPI number 1598783904
LBN Legal business name Ivy Creek Of Tallapoosa, Llc
DBA Doing business as Lake Martin Community Hospital
Authorized official Bruce, Michael D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 5th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598783904 NPPES
Alabama Other 01D0641802 CLIA
Alabama MEDICAID 529916200 CLIA
Alabama Other BCBS CLIA
Alabama MEDICAID HOS0052H CLIA

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