IVY CREEK FAMILY CARE OF ENTERPRISE – NPI #1285180729
Clinic/Center

IVY CREEK FAMILY CARE OF ENTERPRISE is an AHC clinic located in ENTERPRISE, AL. NPPES has assigned the NPI number 1285180729 to IVY CREEK FAMILY CARE OF ENTERPRISE on August 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IVY CREEK FAMILY CARE OF ENTERPRISE” is a dba name, the actual legal business name for this organization is ENTERPRISE URGENT CARE. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Feb 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IVY CREEK FAMILY CARE OF ENTERPRISE below.

NPI Profile for
ENTERPRISE URGENT CARE

NPI Number
1285180729
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENTERPRISE URGENT CARE
Doing Business As (dba): IVY CREEK FAMILY CARE OF ENTERPRISE
Primary location
6582 BOLL WEEVIL CIRCLE
ENTERPRISE, AL 36330
Phone: (334) 347-2027 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - IVY CREEK FAMILY CARE OF ENTERPRISE is subpart of another organization.
Authorized Official
MICHAEL BRUCE
CEO
Phone: (334) 567-4311
Updated
Certification Date
Feb 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 AL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.