LAKE MARTIN COMMUNITY HOSPITAL
NPI 1659685345
Medicare Defined Swing Bed Unit in Dadeville, AL

Active since August 05, 2010
201 MARIARDEN RD, DADEVILLE, AL 36853(256) 825-7821 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Martin Community Hospital NPPES

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

LAKE MARTIN COMMUNITY HOSPITAL (NPI 1659685345) is a healthcare organization registered as a medicare defined swing bed unit in Dadeville, Alabama and active in the NPI registry since August 2010. The organization lists Michael Bruce, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1659685345
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameIVY CREEK OF TALLAPOOSA LLC
Location Address201 MARIARDEN RDDadeville, AL 36853-6244
Mailing Address201 Mariarden RdDadeville, AL 36853-6244 · (256) 825-7821
Organization SubpartYes
Authorized OfficialMichael BruceOwner/ceo · (256) 825-7821
Enumeration DateAugust 5, 2010
Last NPPES UpdateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
NPI 1659685345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License Licensed in AL · H6202
Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

201 MARIARDEN RD, Dadeville, AL 36853

Other Names 1

Doing Business AsLake Martin Community Hospital

Other Identifiers 2

Other010144AL · Bc/bs
MedicaidHOS0052HAL

Other Providers at the Same Location NPPES 10

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

Ambulance (Land Transport)
201 MARIARDEN RD
DADEVILLE, AL 36853
Hospice Care, Community Based
201 MARIARDEN RD
DADEVILLE, AL 36853
Nurse Practitioner (Family)
201 MARIARDEN RD
DADEVILLE, AL 36853
Nurse Practitioner (Family)
201 MARIARDEN RD
DADEVILLE, AL 36853
General Acute Care Hospital (Rural)
201 MARIARDEN RD
DADEVILLE, AL 36853
General Acute Care Hospital (Rural)
201 MARIARDEN RD
DADEVILLE, AL 36853
Emergency Medicine (Emergency Medical Services)
201 MARIARDEN RD
DADEVILLE, AL 36853
Emergency Medical Technician, Basic
201 MARIARDEN RD
DADEVILLE, AL 36853

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 Tallapoosa LLC's NPI number?

The NPI number for Ivy Creek Of Tallapoosa LLC is 1659685345. It was assigned to this organization in the NPPES registry on August 5, 2010. The provider is doing business as Lake Martin Community Hospital.

Where is Ivy Creek Of Tallapoosa LLC located?

Ivy Creek Of Tallapoosa LLC is located at 201 Mariarden Rd, Dadeville, AL 36853. The listed phone number is (256) 825-7821.

What is Ivy Creek Of Tallapoosa LLC's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for Ivy Creek Of Tallapoosa LLC was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.