Contract Details
Ivy Creek of Elmore, LLC
Facility name
Elmore Community Hospital
Provider ID
P000000001
NPI
1588795942
Tax ID
631253446
Effective Date
6/16/2022
Last Updated
6/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_503
Location Details
Address
500 Hospital Drive
Wetumpka, AL 36092
United States
Phone
334-567-4311 (Phone)
Billing Details
Address
P.O. Box 130
Wetumpka, AL 36092
Billing Phone
334-567-4311
Specialty Type
Hospital, Acute Care
Website
Visit Website
Map
Address