River Region Family Medicine
LBN: Ivycreek Of Elmore Llc
River Region Family Medicine is an health care organization with primary practice located at 41 Cambridge Ct , Wetumpka AL 36093-1261. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Ivycreek Of Elmore Llc can be contacted via phone (334) 567-3309, or through Bruce, Michael D via phone (334) 567-4311.
Contact Information
Primary practice address
41 Cambridge Ct
Wetumpka AL 36093-1261
Phone: (334) 567-3309
Fax: (334) 567-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 22736 | Alabama |
Profile Details
| NPI number | 1366565152 |
|---|---|
| LBN Legal business name | Ivycreek Of Elmore Llc |
| DBA Doing business as | River Region Family Medicine |
| Authorized official | Bruce, Michael D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Oct 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366565152 | NPPES |
| Alabama | MEDICAID | 540003434 |
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