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STATE UNIVERSITY OF IOWA NPI 1013241850


NPI Information

NPI: 1013241850
Provider Name: STATE UNIVERSITY OF IOWA

Doing Business As: UI QUICKCARE - EAST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D1105490

Address:
1632 SYCAMORE ST
IOWA CITY, IA
ZIP 52240
Phone: (319) 384-8822
Get Directions

STATE UNIVERSITY OF IOWA is a family medicine in Iowa City, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STATE UNIVERSITY OF IOWA NPI is 1013241850. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ui Quickcare - East.

The provider's business location address is:

1632 SYCAMORE ST
IOWA CITY, IA
ZIP 52240-044
Phone: (319) 384-8822
Fax: (319) 354-1002

The provider's authorized official is Philip E Roudabush .
The authorized official title is Director, Patient Financial Service and has the following contact phone number (319) 384-2334.

The CLIA number assigned to this NPI record is 16D1105490 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 12/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I1421MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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