Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1497839294 |
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| LBN Legal business name | STATE UNIVERSITY OF IOWA | ||||
| Authorized official | KENNETH FISHER - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/25/2006 | ||||
| Last updated | 02/15/2008 - About 18 years ago | ||||
| Identifiers |
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