OrganizationActive
Ivycreek of Elmore LLC
NPI 1366565152 · Rural Health Clinic/Center · Wetumpka, AL
Provider details
- NPI number
- 1366565152
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ivycreek of Elmore LLC
- Authorized official
- Michael Bruce, Ceo
- License
- 22736 (AL)
Practice location
41 Cambridge Ct
Wetumpka, AL 36093-1261
Phone: (334) 567-3309
Fax: (334) 567-3361
Mailing address
Po Box 130
Wetumpka, AL 36092-0003
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.