STATE UNIVERSITY OF IOWA (NPI# 1093790578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093790578 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | UNIVERSITY OF IOWA HOSPITALS & CLINICS-WASHINGTON DIALYSIS CENTER |
| Practice Address |
414 E Polk St Washington IA 52353-1237 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3196534171 |
| Mailing Telephone | 3193561616 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | JAY BROOKS JACKSON (VP FOR MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3193358064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE UNIVERSITY OF IOWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0600585 | 05 | |
| IA | WELLMARK BCBS | 62306 | 01 |
| Other Name | Type Code |
|---|---|
| University of Iowa Hospitals & Clinics-Washington Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1710485123 | State University of Iowa | Eye Bank | 2500 Crosspark Rd Ste W300, Coralville, IA 52241-4710 | 2018-01-31 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1548526189 | State University of Iowa | Family Medicine | 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 | 2012-04-09 |
| 1194035436 | State University of Iowa | Durable Medical Equipment & Medical Supplies | 119 2nd St, Ste 400, Coralville, IA 52241-2691 | 2010-10-20 |
| 1013241850 | State University of Iowa | Family Medicine | 1632 Sycamore St, Iowa City, IA 52240-6044 | 2009-09-28 |
| 1053503755 | State University of Iowa | Public Health or Welfare | 100 Hawkins Dr, 247-a Cdd, Iowa City, IA 52242 | 2007-08-16 |
| 1225177579 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-05 |
| 1689712549 | State University of Iowa | Audiologist | 250 Hawkins Drive, The University of Iowa, Iowa City, IA 52242-1012 | 2007-02-02 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | STATE UNIVERSITY OF IOWA ALUMNI ASSOCIATION | Po Box 1970, One West Park Rd, Iowa City, IA 52244-1970 |
| Iowa Business Entities | STATE UNIVERSITY OF IOWA FOUNDATION | One West Park Road, Po Box 4550, Iowa City, IA 52244 |
| Street Address |
414 E POLK ST |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427441948 | Leaton Dialysis LLC | Clinic/Center | 1225 S Capitol St Sw, Washington, DC 20003-3524 | 2015-03-09 |
| 1194138669 | Rai Care Centers of Southeast Dc, LLC | Clinic/Center | 1918 14th St Se, Washington, DC 20020-4867 | 2014-06-03 |
| 1467889469 | Total Renal Care Inc | Clinic/Center | 1040 Washington Sq, Washington, MO 63090-5302 | 2013-10-04 |
| 1184934200 | Rai Care Centers of Dc I LLC | Clinic/Center | 6411 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-10-08 |
| 1548573330 | Biniam K Haileab | Clinic/Center | 1 Dupont Cir Nw, Washington, DC 20036-1110 | 2010-07-21 |
| 1528290590 | International Dialysis Center, LLC | Clinic/Center | 1730 Hamlin St Ne, Washington, DC 20018-1838 | 2009-08-10 |
| 1770773939 | Capitol Dialysis LLC | Clinic/Center | 2601 18th St, Washington, DC 20018-1301 | 2007-07-25 |
| 1750423869 | Affiliated Home Dialysis LLC | Clinic/Center | 2462 Washington Rd, Washington, IL 61571-1756 | 2007-02-13 |
| 1427145176 | Medstar - Georgetown Medical Center, Inc. | Clinic/Center | 3800 Reservoir Rd., Nw, Washington, DC 20007-2113 | 2006-10-06 |
| 1861596736 | Bio-medical Applications of Capitol Hill, Inc. | Clinic/Center | 900 M St Se, Washington, DC 20003-3614 | 2006-09-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
Please comment or provide details below to improve the information on STATE UNIVERSITY OF IOWA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.