Ivy Creek Prevention Center LLC
NPI 1659755577ActiveOrganization· General Practice· Dadeville, AL
General Practice in Dadeville, Alabama, registered in NPPES in July 2015. The authorized official on file is Michael D. Bruce, Ceo.
Overview
| NPI | 1659755577 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2015 |
| Last updated in NPPES | May 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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