LAKE MARTIN COMMUNITY HOSPITAL
NPI 1720273303
General Acute Care Hospital - Rural in Dadeville, AL

Active since September 07, 2007
201 MARIARDEN RD, DADEVILLE, AL 36853(256) 825-7821(256) 825-5899 Get Directions Write a Review

NPPES record last updated: April 5, 2022. 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 1720273303) is a healthcare organization registered as a rural in Dadeville, Alabama and active in the NPI registry since September 2007. The organization lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720273303
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameIVY CREEK OF TALLAPOOSA
Location Address201 MARIARDEN RDDadeville, AL 36853-6244
Mailing Address201 Mariarden RdDadeville, AL 36853-6244 · (256) 825-7821 · Fax (256) 825-5899
Fax(256) 825-5899
Organization SubpartNo
Authorized OfficialMichael D BruceCeo · (334) 567-4311
Enumeration DateSeptember 7, 2007
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1720273303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License Licensed in AL · J115
201 MARIARDEN RD, Dadeville, AL 36853

Other Names 1

Doing Business AsLake Martin Community Hospital

Other Identifiers 2

Other01D0641802AL · Clia
Medicaid529916200AL

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
Medicare Defined Swing Bed Unit
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's NPI number?

The NPI number for Ivy Creek Of Tallapoosa is 1720273303. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is doing business as Lake Martin Community Hospital.

Where is Ivy Creek Of Tallapoosa located?

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

What is Ivy Creek Of Tallapoosa's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Ivy Creek Of Tallapoosa was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.