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 only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as 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:
Map and Directions
Authorized official contact:
Name: Bruce, Michael D
Phone: (334) 567-4311

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1396066650
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 Jun 21st, 2010
Last updated Feb 18th, 2020 - about 4 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 1396066650 NPPES
Alabama MEDICAID 540003434

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