Organization
IVY CREEK OF ELMORE LLC
Active
Other names
IVY CREEK ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE D BRUCE (CEO)
(334) 567-4311
Entity
Organization
Contact information
Practice address
500 HOSPITAL DR, WETUMPKA, AL 36092-1625
(334) 567-4311
(334) 567-4312
Mailing address
PO BOX 130, WETUMPKA, AL 36092-0003
(334) 567-4311
(334) 567-4312
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
04/05/2022
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