IVYCREEK OF ELMORE LLC NPI 1205034428

NPI Information

NPI: 1205034428
Provider Name: IVYCREEK OF ELMORE LLC

Doing Business As: ELMORE COMMUNITY HOSPITAL

Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization
Address:
500 HOSPITAL DR
WETUMPKA, AL
ZIP 36092
Phone: (334) 567-4311
Get Directions

IVYCREEK OF ELMORE LLC is an emergency medical technician basic in Wetumpka, AL. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. IVYCREEK OF ELMORE LLC NPI is 1205034428. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Elmore Community Hospital.

The provider's business location address is:

500 HOSPITAL DR
WETUMPKA, AL
ZIP 36092-625
Phone: (334) 567-4311
Fax: (334) 567-4312

The provider's authorized official is James G Faulk .
The authorized official title is Ceo and has the following contact phone number (334) 567-4311.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 1/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		H2601	ALABAMA	No
2	146N00000X	Emergency Medical Technician, Basic				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	529905190	MEDICAID	ALABAMA
2	I269	MEDICARE PIN	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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