OrganizationActive
Ivy Creek of Elmore, LLC
NPI 1508480633 · Rural Health Clinic/Center · Wetumpka, AL
Provider details
- NPI number
- 1508480633
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ivy Creek of Elmore, LLC
- Organization subpart
- Yes
- Authorized official
- Michael Bruce, Ceo(334) 567-4311
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
525 Hospital Dr
Wetumpka, AL 36092-1626
Phone: (334) 567-5626
Fax: (334) 514-3686
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Wetumpka, AL 36092-0003
Other names (DBA / former)
- Doing business as
- Ivy Creek Family Care of Wetumpka
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.