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Ivycreek of Elmore LLC

Rural Health Clinic/Center in Wetumpka, AL · enumerated 2007 · authorized official Michael Bruce, Ceo.

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

National Provider Identifier

1366565152

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Registry record

Entity type Organization (Type 2)
Legal business name Ivycreek of Elmore LLC
Other name <Unavail>
Parent organization Ivycreek of Elmore LLC
Practice address 41 Cambridge Ct, Wetumpka, AL, 36093
Phone (334) 567-3309
Fax (334) 567-3361
Enumeration date Apr 9, 2007
Last updated in NPPES Oct 1, 2012

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
305R00000X Preferred Provider Organization Managed Care Organizations · License 22736 (AL) Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
540003434 Medicaid AL -

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 Ivycreek 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 2012-10-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-01.