IVY CREEK OF ELMORE LLC is a rural health clinic center in Wetumpka, AL. IVY CREEK OF ELMORE LLC NPI is 1316246812. The provider is registered as an organization entity type.
The provider Is Doing Business As Wetumpka Family Rural Health Clinic.
The provider's business location address is:
815 JACKSON TRACE RD
WETUMPKA, AL
ZIP 36092-504
Phone: (334) 567-2882
Fax: (334) 567-3361
The provider's authorized official is Michael D Bruce .
The authorized official title is Ceo and has the following contact phone number (334) 567-4311.
The CLIA number assigned to this NPI record is 01D0891738 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/23/2011 and was last updated on 4/5/2022.