STATE UNIVERSITY OF IOWA NPI 1225177579

NPI Information

STATE UNIVERSITY OF IOWA is a pediatrics registered nurse in Council Bluffs, IA. STATE UNIVERSITY OF IOWA NPI is 1225177579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Chsc Ped Screening Center.

The provider's business location address is:

3501 HARRY LANGDON BLVD STE 1450
CHILD HEALTH SPECIALTY CLINICS
COUNCIL BLUFFS, IA
ZIP 51503-837
Phone: (712) 309-0041
Fax: (712) 309-0044

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 enumeration date for this NPI number is 2/5/2007 and was last updated on 3/1/2012.

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:

Other Identifiers

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