OrganizationActive
Ivy Creek of Butler, LLC.
NPI 1245372168 · Rural Health Clinic/Center · Georgiana, AL
Provider details
- NPI number
- 1245372168
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- David Wilcox, Cfo
- License
- 11769 (AL)
Practice location
125 Church Street
Georgiana, AL 36033
Phone: (334) 376-2291
Fax: (334) 376-3655
Mailing address
300 N College St
Greenville, AL 36037
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2019-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.