STATE UNIVERSITY OF IOWA; NPI #1285635664

Contact Information

STATE UNIVERSITY OF IOWA

4189 WL UNIVERSITY OF IOWA
IOWA CITY, IA 52242-1100

Phone: 319-335-8376
Fax: 319-335-7247
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for STATE UNIVERSITY OF IOWA

NPI # 1285635664

LBN Legal business name STATE UNIVERSITY OF IOWA

Authorized official JAMES KELLOGG - (DIRECTOR STUDENT HEALTH SERVICE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/09/2005

Last updated 05/09/2013 - About 13 years ago

Identifiers

IA	Medicaid	0089771
IA	Other	08977	WELLMARK BC/BS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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