Organization
IVY CREEK FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GORDON FAULK (CEO)
(334) 361-7316
Entity
Organization
Contact information
Practice address
201 S WASHINGTON ST, AUTAUGAVILLE, AL 36003-2535
(334) 361-7316
(334) 361-7858
Mailing address
PO BOX 490, AUTAUGAVILLE, AL 36003-0490
(334) 361-7316
(334) 361-7858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
09/28/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up