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WETUMPKA FAMILY RURAL HEALTH CLINIC
NPI 1316246812
Clinic/Center - Rural Health in Wetumpka, AL

Active since March 23, 2011CLIA 01D0891738 · Microscopy
815 JACKSON TRACE RD, WETUMPKA, AL 36092(334) 567-2882(334) 567-3361 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wetumpka Family Rural Health Clinic NPPES

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

WETUMPKA FAMILY RURAL HEALTH CLINIC (NPI 1316246812) is a healthcare organization registered as a rural health in Wetumpka, Alabama and active in the NPI registry since March 2011. The organization holds a CLIA Microscopy certificate valid through September 13, 2026 and lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316246812
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIVY CREEK OF ELMORE LLC
Location Address815 JACKSON TRACE RDWetumpka, AL 36092-1504
Mailing AddressPo Box 130Wetumpka, AL 36092-0003 · (334) 567-2882 · Fax (334) 514-6747
Phone(334) 567-2882
Fax(334) 567-3361
Organization SubpartNo
Authorized OfficialMichael D BruceCeo · (334) 567-4311
Enumeration DateMarch 23, 2011
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1316246812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
815 JACKSON TRACE RD, Wetumpka, AL 36092
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Other Names 1

Doing Business AsWetumpka Family Rural Health Clinic

Other Identifiers 4

Other01D0891738AL · Clia
Other013434AL · Medicare
Other102G701614AL · Medicare
Medicaid540003434AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0891738

Wetumpka Family Rural Health Clinic Dba Wetumpka Pediatrics · Wetumpka, AL
Active · expires Sep 13, 2026
CLIA Number01D0891738
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorDr. James Carlile MD
Laboratory Phone(334) 567-2882
Laboratory LocationWetumpka Family Rural Health Clinic Dba Wetumpka Pediatrics815 Jackson Trace Road, Wetumpka, AL 36092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

HEATHER K HYDE CRNP
Nurse Practitioner (Pediatrics)
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
MRS. KASEY LEIGH EMMONS CRNP
Registered Nurse
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
MRS. MELINDA K HARDEN C.R.N.P
Nurse Practitioner (Pediatrics)
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
CALLIE EDGE BEST CRNP
Nurse Practitioner (Family)
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
DR. ANNE S YOUNG M.D.
Specialist
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
CARRIE K CHRISTIAN CRNP
Nurse Practitioner
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882
MARIA KATHLEEN CALHOUN CRNP
Registered Nurse (Pediatrics)
815 JACKSON TRACE RD
WETUMPKA, AL 36092
Elmore County (334) 567-2882

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 Ivy Creek Of Elmore LLC's NPI number?

The NPI number for Ivy Creek Of Elmore LLC is 1316246812. It was assigned to this organization in the NPPES registry on March 23, 2011. The provider is doing business as Wetumpka Family Rural Health Clinic.

Where is Ivy Creek Of Elmore LLC located?

Ivy Creek Of Elmore LLC is located at 815 Jackson Trace Rd, Wetumpka, AL 36092. The listed phone number is (334) 567-2882.

What is Ivy Creek Of Elmore LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Ivy Creek Of Elmore LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0891738) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivy Creek Of Elmore LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Ivy Creek Of Elmore LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Creek 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.