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Organization
IVY CREEK OF TALLAPOOSA
Active
Organization
IVY CREEK OF TALLAPOOSA
Active
Other names
LAKE MARTIN COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE MORRIS (BUSINESS OFFICE MANAGER)
(256) 825-7821
Entity
Organization
Contact information
Practice address
201 MARIARDEN RD, DADEVILLE, AL 36853-6244
(256) 825-7821
Mailing address
201 MARIARDEN ROAD, DADEVILLE, AL 36853-6244
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0712
AL
Other
Enumeration date
03/31/2008
Last updated
04/05/2022
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