STATE UNIVERSITY OF IOWA NPI 1881679371

NPI Information

NPI: 1881679371
Provider Name: STATE UNIVERSITY OF IOWA

Doing Business As: UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER-GRINNELL DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
803 BROAD ST
GRINNELL, IA
ZIP 50112
Phone: (641) 236-7419
Get Directions

STATE UNIVERSITY OF IOWA is an end-stage renal disease (esrd) treatment clinic center in Grinnell, IA. STATE UNIVERSITY OF IOWA NPI is 1881679371. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Iowa Health Care Medical Center-grinnell Dialysis Center.

The provider's business location address is:

803 BROAD ST
GRINNELL, IA
ZIP 50112-153
Phone: (641) 236-7419

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 16D0664625 - hospital with a certificate type of Certificate of Accreditation.

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	62306	OTHER	IOWA	WELLMARK BCBS
2	0600585	MEDICAID	IOWA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »