STATE UNIVERSITY OF IOWA (NPI# 1225177579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225177579 |
| Entity Type | Organization |
| Organization Name | STATE UNIVERSITY OF IOWA |
| Other Organization Name | CHSC PED SCREENING CENTER |
| Practice Address |
3501 Harry Langdon Blvd Ste 1450 Child Health Specialty Clinics Council Bluffs IA 51503-7837 |
| Mailing Address |
100 Hawkins Drive Child Health Specialty Clinics Iowa City IA 52242 |
| Practice Telephone | 7123090041 |
| Practice Fax Number | 7123090044 |
| Mailing Telephone | 3193546674 |
| Mailing Fax Number | 3193563715 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE) |
| Authorized Official Telephone | 3193842334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0734871 | 05 |
| Other Name | Type Code |
|---|---|
| CHSC Ped Screening Center | Other Name - Individual/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 |
| 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 |
| 1528017365 | State University of Iowa | Family Medicine | 305 Mckinley Avenue, Lowden, IA 52255 | 2006-05-09 |
| 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 |
3501 HARRY LANGDON BLVD STE 1450 CHILD HEALTH SPECIALTY CLINICS |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915628 | State University of Iowa | Registered Nurse | 3501 Harry Langdon Blvd Ste 1450, Child Health Specialty Clinics, Council Bluffs, IA 51503-7837 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550922 | Katie M Dean | Registered Nurse | 5005 Douglas Ave Ste 101, Des Moines, IA 50310-2760 | 2017-11-04 |
| 1508172123 | Elsa Jean Seuferer | Registered Nurse | 400 Maple St, Lucas, IA 50151-9680 | 2010-08-19 |
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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.