Ivycreek of Elmore LLC
Ivycreek of Elmore LLC is a Rural Health Clinic/Center in Wetumpka, Alabama. Licensed in Alabama. Registered with an NPI since 2007.
- Licensed in
- AL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
41 Cambridge CtWetumpka, AL 36093-1261
Phone: (334) 567-3309
Fax: (334) 567-3361
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 |
|---|---|
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 22736 (AL) |
Record details
| NPI number | 1366565152 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ivycreek of Elmore LLC |
| Authorized official | Michael Bruce — Ceo · (334) 567-4311 |
| Other names | River Region Family Medicine |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | October 1, 2012 |
| Mailing address | Po Box 130, Wetumpka, AL 36092-0003 |
Other providers in Wetumpka
-
Ivy Creek of Elmore LLC
815 Jackson Trace Rd, Wetumpka, AL 36092-1504 · (334) 567-2882
-
Ivycreek of Elmore LLC
41 Cambridge Ct, Wetumpka, AL 36093-1261 · (334) 567-3309