Ivy Creek of Tallapoosa LLC
Ivy Creek of Tallapoosa LLC is a Rural Health Clinic/Center in Dadeville, Alabama. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 Mariarden RdDadeville, AL 36853-0129
Phone: (256) 825-7871
Fax: (256) 825-5742
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 | 1932130002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bruce — Ceo · (334) 567-4311 |
| Other names | Lake Martin Family Medicine; Lake Martin Family Medicine |
| NPI enumerated | July 6, 2006 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | Po Box 129, Dadeville, AL 36853-0129 |