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Ivy Creek of Elmore LLC

Rural Health Clinic/Center in Wetumpka, AL · enumerated 2011 · authorized official Michael Bruce, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316246812

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Registry record

Entity type Organization (Type 2)
Legal business name Ivy Creek of Elmore LLC
Other name <Unavail>
Practice address 815 Jackson Trace Rd, Wetumpka, AL, 36092
Phone (334) 567-2882
Fax (334) 567-3361
Enumeration date Mar 23, 2011
Last updated in NPPES Apr 5, 2022

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Michael Bruce
Title Ceo
Phone (334) 567-4311

Other identifiers

Identifier Type State Issuer
540003434 Medicaid AL -
013434 Other AL MEDICARE
01D0891738 Other AL CLIA
102G701614 Other AL MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ivy Creek of Elmore LLC located?
The practice location on file with NPPES is in Wetumpka, AL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-05.