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Ivy Creek of Elmore, L.L.C.

Details

Name: Ivy Creek of Elmore, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Jun 2000 (24 years ago) (Companies founded in June 2000)
Entity Number: 000-670-867
Register Number: 000670867
ZIP code: 36003 (Companies in Autauga, 36003)
County: Autauga
Place of Formation: Elmore County
Registered Office Street Address: 203 S WASHINGTON STAUTAUGAVILLE, AL 36003

Activities ACQUIRE/OWN/OPERATE/MANAGE/MORTGAGE/ENCUMBER/DEVELOP PROPERTY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CCLLHGMW1C48 2021-03-27 500 HOSPITAL DR, WETUMPKA, AL, 36092, 1625, USA PO BOX 130, WETUMPKA, AL, 36092, USA

Business Information

Doing Business As ELMORE COMMUNITY HOSPITAL
Division Name WETUMPKA PEDIATRICS RHC
Division Number WETUMPKA P
Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2020-04-16
Initial Registration Date 2020-03-27
Entity Start Date 1997-05-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TANYA BRUCE
Role ADMIN
Address 500 HOSPITAL DR, WETUMPKA, AL, 36092, USA
Government Business
Title PRIMARY POC
Name AMANDA HANNON
Role DIRECTOR OF OPERATIONS
Address 500 HOSPITAL DR, WETUMPKA, AL, 36092, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679204838 2022-06-20 2022-06-20 PO BOX 130, WETUMPKA, AL, 360920003, US 500 HOSPITAL DR STE C, WETUMPKA, AL, 360921625, US

Contacts

Phone +1 334-283-2542
Fax 3345143686
Phone +1 334-567-4311

Authorized person

Name MICHAEL D BRUCE
Role CEO
Phone 3345674311

Taxonomy

Taxonomy Code 163WW0000X - Wound Care Registered Nurse
Is Primary Yes

Agent

Name Role Address
IVY CREEK ASSOCIATES INC Agent 203 S WASHINGTON STREETAUTAUGAVILLE, AL 36003

Member

Name Role Address
SEVEN OAKS HOLDINGS LLC Member 3 MONCREST DRIVEBIRMINGHAM, AL 35213

Organizer

Name Role Address
IVY CREEK HEALTHCARE LLC Organizer 16020 SW 80TH AVENUEMIAMI, FL 33157
IVY CREEK ASSOCIATES LLC Organizer 203 S WASHINGTON STREETAUTAUGAVILLE, AL 36003

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State