# STATE UNIVERSITY OF IOWA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Center North Liberty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184673972
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 384-2334

## Contact information

- **Practice address:** 3 LIONS DR, NORTH LIBERTY, IA 52317-9575
- **Practice address phone:** (319) 626-5680
- **Practice address fax:** (319) 626-5687
- **Mailing address:** 200 HAWKINS DR, IOWA CITY, IA 52242-1007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 03/01/2012