Ivy Creek of Tallapoosa LLC
Ivy Creek of Tallapoosa LLC is a Medicare Defined Swing Bed Hospital Unit in Dadeville, Alabama. Licensed in Alabama. Registered with an NPI since 2010.
- Licensed in
- AL
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 Mariarden RdDadeville, AL 36853-6244
Phone: (256) 825-7821
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
| Medicare Defined Swing Bed Hospital Unit (primary) | Taxonomy 275N00000X · Licence H6202 (AL) |
|---|
Record details
| NPI number | 1659685345 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ivy Creek of Tallapoosa LLC |
| Authorized official | Michael Bruce — Owner/Ceo · (256) 825-7821 |
| Other names | Lake Martin Community Hospital; Lake Martin Community Hospital |
| NPI enumerated | August 5, 2010 |
| Last updated in NPPES | August 21, 2020 |
| Certification date | August 21, 2020 |
| Mailing address | 201 Mariarden Rd, Dadeville, AL 36853-6244 |