Ivycreek of Elmore LLC
NPI 1205034428ActiveOrganization· Emergency Medical Technician, Basic· Wetumpka, AL
Emergency Medical Technician, Basic in Wetumpka, Alabama, registered in NPPES in July 2007, part of Ivycreek of Elmore LLC. The authorized official on file is Michael D. Bruce, Ceo.
Overview
| NPI | 1205034428 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ivycreek of Elmore LLC |
| NPI issued | Jul 10, 2007 |
| Last updated in NPPES | Apr 5, 2022 |
| Certified by provider | Apr 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medical Technician, Basic Primary | 146N00000X | — | — |
| Emergency Medical Technician, Basic | 146N00000X | H2601 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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