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ELMORE COMMUNITY HOSPITAL
NPI 1205034428
Emergency Medical Technician, Basic in Wetumpka, AL

Active since July 10, 2007CLIA 01D0680545 · Accreditation
500 HOSPITAL DR, WETUMPKA, AL 36092(334) 567-4311(334) 567-4312 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elmore Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMORE COMMUNITY HOSPITAL (NPI 1205034428) is a healthcare organization registered as an emergency medical technician, basic in Wetumpka, Alabama and active in the NPI registry since July 2007. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205034428
Entity TypeOrganization
Primary Taxonomy146N00000X
Legal Business NameIVYCREEK OF ELMORE LLC
Location Address500 HOSPITAL DRWetumpka, AL 36092-1625
Mailing AddressPo Box 130Wetumpka, AL 36092-0003 · (334) 567-4311 · Fax (334) 567-4312
Phone(334) 567-4311
Fax(334) 567-4312
Organization SubpartYes
Authorized OfficialMichael D BruceCeo · (334) 567-4311
Enumeration DateJuly 10, 2007
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1205034428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in AL · H2601
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
500 HOSPITAL DR, Wetumpka, AL 36092
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Other Names 1

Doing Business AsElmore Community Hospital

Other Identifiers 2

Medicaid529905190AL
Other01D680545AL · Clia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D0680545

Elmore Community Hospital Laboratory · Wetumpka, AL
Active · expires Sep 3, 2027
CLIA Number01D0680545
Laboratory TypeHospital
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorDr. Nella C. Fernandez
Laboratory Phone(334) 567-4311
Laboratory LocationElmore Community Hospital Laboratory500 Hospital Drive, Wetumpka, AL 36092
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY CREEK OF ELMORE, LLC
Nurse Anesthetist, Certified Registered
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311
IVY CREEK OF ELMORE, LLC
Surgery
500 HOSPITAL DR, SUITE B
WETUMPKA, AL 36092
Elmore County (334) 567-4311
CLEAR HORIZONS RECOVERY CLINIC, LLC
Clinic/Center (Recovery Care)
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311
MALLORY JONES CRNP
Registered Nurse
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311
IVY CREEK OF ELMORE, LLC
Clinical Medical Laboratory
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311
MRS. MARLENE WILSON-LAVALLEY NP-C
Nurse Practitioner
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 514-3713
ALEXANDRA SHADE GROSS CRNP
Nurse Practitioner (Family)
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311
IVY CREEK OF ELMORE LLC
General Acute Care Hospital
500 HOSPITAL DR
WETUMPKA, AL 36092
Elmore County (334) 567-4311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivycreek Of Elmore LLC's NPI number?

The NPI number for Ivycreek Of Elmore LLC is 1205034428. It was assigned to this organization in the NPPES registry on July 10, 2007. The provider is doing business as Elmore Community Hospital.

Where is Ivycreek Of Elmore LLC located?

Ivycreek Of Elmore LLC is located at 500 Hospital Dr, Wetumpka, AL 36092. The listed phone number is (334) 567-4311.

What is Ivycreek Of Elmore LLC's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

Does Ivycreek Of Elmore LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0680545) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ivycreek Of Elmore LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.