Name: Ivy Creek Family Care of Tallassee
Address: 2256 Gilmer Avenue, Tallassee, 36078, United States
Telephone: 334-283-2542

Contract Details

Ivy Creek Health

Facility name

Ivy Creek Family Care of Tallassee

Provider ID

P000000001

NPI

1558868323

Tax ID

631253446

Effective Date

7/7/2022

Last Updated

7/15/2022

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

State Fee Schedule Multiplier

82.00

Location Details

Address

2256 Gilmer Avenue

Tallassee, AL 36078

United States

Phone

334-283-2542 (Phone)

Billing Details

Address

2256 Gilmer Avenue

Tallassee, AL 36078

Billing Phone

Specialty Type

Urgent Care Facility

Map