Ivy Creek of Elmore, LLC
Ivy Creek of Elmore, LLC is a Rural Health Clinic/Center in Deatsville, Alabama. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4412 Hogan RdDeatsville, AL 36022-3400
Phone: (334) 514-4851
Fax: (334) 543-4854
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1578060349 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jade Lane — Credentialing Manager · (334) 567-4311 |
| Other names | Ivy Creek Family Care Of Holtville |
| NPI enumerated | April 9, 2018 |
| Last updated in NPPES | March 20, 2025 |
| Certification date | March 20, 2025 |
| Mailing address | Po Box 130, Wetumpka, AL 36092-0003 |