# IVY CREEK HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851823108
- **Authorized official:** SAVANNAH JANE MOON CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (205) 585-3315

## Contact information

- **Practice address:** 1210 7TH ST S, CLANTON, AL 35045-3724
- **Practice address phone:** (205) 280-0620
- **Mailing address:** 1210 7TH ST S, CLANTON, AL 35045-3724
- **Mailing address phone:** (205) 280-0620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 1-140246 | AL | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017