STATE UNIVERSITY OF IOWA NPI 1093790578

NPI Information

NPI: 1093790578
Provider Name: STATE UNIVERSITY OF IOWA

Doing Business As: UNIVERSITY OF IOWA HOSPITALS & CLINICS-WASHINGTON DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
414 E POLK ST
WASHINGTON, IA
ZIP 52353
Phone: (319) 653-4171
Get Directions

STATE UNIVERSITY OF IOWA is an end-stage renal disease (esrd) treatment clinic center in Washington, IA. STATE UNIVERSITY OF IOWA NPI is 1093790578. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Iowa Hospitals & Clinics-washington Dialysis Center.

The provider's business location address is:

414 E POLK ST
WASHINGTON, IA
ZIP 52353-237
Phone: (319) 653-4171

The provider's authorized official is Joe M Mckelvey .
The authorized official title is Sr Director Of Government Reimb and has the following contact phone number (319) 467-8549.

The CLIA number assigned to this NPI record is 16D2134535 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2005 and was last updated on 4/24/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0600585	MEDICAID	IOWA
2	62306	OTHER	IOWA	WELLMARK BCBS

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: 5/5/2024

NPI Synchronization or Removal

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