IVY CREEK OF TALLAPOOSA NPI 1811169857

NPI Information

IVY CREEK OF TALLAPOOSA is an emergency medical technician basic in Dadeville, 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. IVY CREEK OF TALLAPOOSA NPI is 1811169857. The provider is registered as an organization entity type and is a multiple single specialty group.
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 Caroline Morris .
The authorized official title is Business Office Manager and has the following contact phone number (256) 825-7821.

The enumeration date for this NPI number is 3/31/2008 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:

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