Ivy Creek Urgent Care | |
5958 Highway 49 S Unit K Dadeville AL 36853-6771 | |
(256) 825-7821 | |
Not Available |
Full Name | Ivy Creek Urgent Care |
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Speciality | Clinic/Center |
Location | 5958 Highway 49 S Unit K, Dadeville, Alabama |
Authorized Official Name and Position | Teresa H Langford (CREDENTIALING MANAGER) |
Authorized Official Contact | 3347409109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ivy Creek Urgent Care Po Box 130 Wetumpka AL 36092-0003 Ph: (334) 514-3821 | Ivy Creek Urgent Care 5958 Highway 49 S Unit K Dadeville AL 36853-6771 Ph: (256) 825-7821 |
NPI Number | 1609572890 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 04/11/2023 |
Medicare PECOS PAC ID | 6103281977 |
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Medicare Enrollment ID | O20230501000230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609572890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | John R Durant |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790717858 PECOS PAC ID: 7810800091 Enrollment ID: I20031112000675 |
Provider Name | Barbara F Wilder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598797656 PECOS PAC ID: 5597836643 Enrollment ID: I20080617000259 |
Provider Name | Laura R Daniel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952634248 PECOS PAC ID: 3375686520 Enrollment ID: I20100210000256 |
Provider Name | Robert Alan Schuster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871525931 PECOS PAC ID: 1951378934 Enrollment ID: I20100818000768 |
Provider Name | Sharon M Hamlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790060341 PECOS PAC ID: 6305004847 Enrollment ID: I20120229000890 |
Provider Name | Brian Heath Daniel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912359100 PECOS PAC ID: 0840578449 Enrollment ID: I20161102002160 |
Provider Name | Cathy Pitts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508314865 PECOS PAC ID: 5991072076 Enrollment ID: I20170519001381 |
Provider Name | Lori M Mosley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578072757 PECOS PAC ID: 8123387016 Enrollment ID: I20180123001061 |
Provider Name | Emmanuel N Ozimba |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245233832 PECOS PAC ID: 8628010501 Enrollment ID: I20201228000265 |
Provider Name | Timothy James Littmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477050680 PECOS PAC ID: 1456752690 Enrollment ID: I20210625001584 |
Medical Park Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1034 S Tallassee St, Dadeville, AL 36853 Phone: 256-825-9900 Fax: 256-825-6620 | |
Ivy Creek Of Tallapoosa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5958 Highway 49 S Unit K, Dadeville, AL 36853 Phone: 256-825-7871 | |
Stillwaters Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2129 Moonbrook Dr, Dadeville, AL 36853 Phone: 334-514-3848 Fax: 334-514-3686 | |
Bartel Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 139 E Lafayette St, Dadeville, AL 36853 Phone: 256-825-8211 Fax: 256-825-0999 | |
Lake Martin Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742 |