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IVY CREEK OF ELMORE LLC NPI 1588795942


NPI Information

NPI: 1588795942
Provider Name: IVY CREEK OF ELMORE, LLC

Doing Business As: ELMORE COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 01D0680545

Address:
500 HOSPITAL DR
WETUMPKA, AL
ZIP 36092
Phone: (334) 567-4311
Get Directions

IVY CREEK OF ELMORE, LLC is a general acute care hospital in Wetumpka, AL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. IVY CREEK OF ELMORE, LLC NPI is 1588795942. The provider is registered as an organization entity type.
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 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 01D0680545 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 4/5/2022.


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
1282N00000XGeneral Acute Care Hospital11797ALABAMAYes

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
1HOS0097HMEDICAIDALABAMA
2010-028OTHERALABAMAHOSPITAL BCBS OF ALABAMA
301D0680545OTHERALABAMACLIA
4010-028OTHERBCBS OF 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: 5/5/2024

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