IVY CREEK OF TALLAPOOSA LLC NPI 1659685345

NPI Information

IVY CREEK OF TALLAPOOSA LLC is a medicare defined swing bed unit in Dadeville, AL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. IVY CREEK OF TALLAPOOSA LLC NPI is 1659685345. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Martin Community Hospital.

The provider's business location address is:

201 MARIARDEN RD
DADEVILLE, AL
ZIP 36853-244
Phone: (256) 825-7821

The provider's authorized official is Michael Bruce .
The authorized official title is Owner/ceo and has the following contact phone number (256) 825-7821.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 8/21/2020.

Taxonomy Codes

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Other Identifiers

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