Ivy Creek of Tallapoosa LLC
Doing business as Lake Martin Family Medicine
Rural health clinic in Dadeville, AL, Medicare certification number 013420.
Medicare certification
Provider of Services- CCN
- 013420
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1A
- Participating since
- Oct 7, 1996
- Last certification
- Jun 8, 2023
- Address
- 301 Mariarden Rd Suite D
Dadeville, AL 36853
(205) 825-7871
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Lake Martin Family Medicine
- Rural Health Clinic/Center
- Dadeville, AL
- NPI 1932130002
Medicare enrollment
Other rural health clinics in Dadeville, AL
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.