{"npi":"1790093029","type":"NPI-2","status":"active","name":{"display":"Ivy Creek Of Elmore LLC","other":[],"organization_name":"IVY CREEK OF ELMORE LLC","authorised_official":"Michael Bruce"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"500 HOSPITAL DR","city":"WETUMPKA","state":"AL","postal_code":"360921625","country_code":"US","phone":"3345674311","fax":"3345674312"},{"purpose":"MAILING","street_1":"PO BOX 130","city":"WETUMPKA","state":"AL","postal_code":"360920003","country_code":"US","phone":"3345674311","fax":"3345674312"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"122925","state":"AL","issuer":null},{"type_code":"01","label":"Other","value":"01D0680545","state":"AL","issuer":"CLIA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-09-21","last_updated":"2022-04-05","_meta":{"source":"NPPES","snapshot_date":"2022-04-05","doc_url":"https://findmynpi.com/api"}}