OrganizationActive
Ivycreek of Elmore LLC
NPI 1396066650 · Rural Health Clinic/Center · Wetumpka, AL
Provider details
- NPI number
- 1396066650
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ivycreek of Elmore LLC
- Organization subpart
- Yes
- Authorized official
- Michael Bruce, Ceo(334) 567-4311
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
41 Cambridge Ct
Wetumpka, AL 36093-1261
Phone: (334) 567-3309
Fax: (334) 567-3361
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Wetumpka, AL 36092-0003
Other names (DBA / former)
- Doing business as
- River Region Family Medicine
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2020-02-18
- Certified
- 2020-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.