Organization
IVY CREEK OF ELMORE, LLC
Active
Parent organization
IVY CREEK OF ELMORE, LLC
Other names
IVY CREEK FAMILY CARE OF WETUMPKA
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVY CREEK OF ELMORE, LLC
Authorized official
MICHAEL D BRUCE DO (CEO)
(334) 567-4311
Entity
Organization
Contact information
Practice address
525 HOSPITAL DR, WETUMPKA, AL 36092-1626
(334) 567-5626
(334) 514-3686
Mailing address
PO BOX 130, WETUMPKA, AL 36092-0003
(334) 567-5626
(334) 514-3686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
03/13/2026
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