STATE UNIVERSITY OF IOWA


Address: 616 10th St, Perry, IA 50220-2221
Phone: 5154653553

STATE UNIVERSITY OF IOWA (NPI# 1306920103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306920103
Entity Type Organization
Organization Name STATE UNIVERSITY OF IOWA
Other Organization Name UI FAMILY CARE - PERRY
Practice Address 616 10th St
Perry
IA 50220-2221
Practice Telephone 5154653553
Practice Fax Number 5154654319
Mailing Telephone 5154653553
Mailing Fax Number 5154654319
Enumeration Date 2006-10-25
Last Update Date 2009-07-07
Authorized Official Name KENNETH L. FISHER (CFO)
Authorized Official Telephone 3193842844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA RHC MEDICAID 0638809 01

Other Provider/Organization Names

Other Name Type Code
UI Family Care - Perry Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 616 10TH ST
City PERRY
State IA
Zip Code 50220-2221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225024193 Eric M Ash Family Medicine 616 10th St, Perry, IA 50220-2221 2005-09-26
1609413731 Ashlee Marie Morman Nurse Practitioner 616 10th St, Perry, IA 50220-2221 2019-12-09
1790154268 Dallas County Hospital Family Medicine 616 10th St, Perry, IA 50220-2221 2015-09-15
1417363573 William N Palmer Family Medicine 616 10th St, Perry, IA 50220-2221 2014-07-09
1417398868 Lindsay Renae Weber Physician Assistant 616 10th St, Perry, IA 50220-2221 2013-07-15
1770719023 Mercy Clinics, Inc Family Medicine 616 10th St, Perry, IA 50220-2221 2009-06-01
1316106529 Michael D Sargent Family Medicine 616 10th St, Perry, IA 50220-2221 2008-06-03
1013965334 State University of Iowa Family Medicine 616 10th St, Perry, IA 50220-2221 2006-05-05
1871574566 David M Huante Emergency Medicine 616 10th St, Perry, IA 50220-2221 2005-11-09
1154318400 Deborah L Medici Feick Family Medicine 616 10th St, Perry, IA 50220-2221 2005-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407405897 Tanna Corrigan Technician 2628 Marengo Dr, Perry, IA 50220 2019-09-09
1053963900 Nicole Dora Mcclavy Nurse Practitioner 610 10th St, Perry, Ia 50220, Perry, IA 50220 2019-07-11
1881816882 Rachel Fazio Occupational Therapist 2625 Iowa St, Perry, IA 50220 2007-05-02
1558485151 Angela Faye Hansen-abbas Occupational Therapist 161 315th Street, Perry, IA 50220 2007-03-19
1356405658 Eye Care Associates PC Optometrist 1313 2nd St., Perry, IA 50220 2006-12-20
1962591800 Nabil Nakhla Faltas Radiology 610 10th Street, Dallas Co Hospital, Perry, IA 50220 2006-10-11
1508959172 Renal Treatment Centers Illinois Inc Clinic/Center 610 10th St Ste L100, Perry, IA 50220 2006-10-02
1790702207 Todd R Miller Podiatrist 612 10th St, Perry, IA 50220 2006-07-17
1750349411 Chad M Kuehl Physical Therapist 610 10t St, Perry, IA 50220 2006-05-03
1942672563 Ronda Hemann Counselor 610 10th Street, Perry, IA 50220 2015-10-22
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225097967 Doctors Memorial Hospital Clinic/Center 1706 S Jefferson St, Perry, FL 32348-5611 2006-03-21
1720561939 Stillwater Medical Center Authority Clinic/Center 505 N 14th St, Perry, OK 73077-5021 2018-09-13
1831342880 Premier Medical Pediatrics Clinic Inc Clinic/Center 315 E Ash St, Perry, FL 32347-2029 2008-11-03
1790728657 Doctors Memorial Hospital Inc Clinic/Center 402 E Ash St, Perry, FL 32347-2105 2006-06-14
1457399982 Doctors Memorial Hospital Inc Clinic/Center 555 N Byron Butler Pkwy, Perry, FL 32347-2315 2006-06-04
1639117237 Doctors Memorial Hospital Inc Clinic/Center 1211 N Center St, Perry, FL 32347-2037 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881294536 Jefferson County Hospital Clinic/Center 107 W Harrison St, Richland, IA 52585-9549 2020-10-30
1255930178 Humboldt County Memorial Hospital Clinic/Center 1000 15th St N Ste C, Humboldt, IA 50548-1008 2020-10-21
1104440809 Regional Health Services of Howard County Clinic/Center 600 Busti Ave, Elma, IA 50628-8090 2020-05-29
1255977740 Unitypoint Health - Marshalltown Clinic/Center 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 2019-11-20
1326690082 Unity Healthcare Clinic/Center 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 2019-07-12
1457825192 Greene County Medical Center Clinic/Center 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 2019-01-16
1427548148 Iowa Physicians Clinic Medical Foundation Clinic/Center 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 2018-05-17
1194215269 Iowa Physicians Clinic Medical Foundation Clinic/Center 3426 N Port Dr Ste 200, Muscatine, IA 52761 2018-05-15
1659872927 Henry County Soldiers' and Sailors' Memorial Hospital Clinic/Center 227 W Main St Ste 1, Wayland, IA 52654-7615 2018-02-22
1447778170 Trinity Regional Medical Center Clinic/Center 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 2017-09-01
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Competitor

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City PERRY
Zip Code 50220

Improve Information

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Dataset Information

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.

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