# UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UI Family Care - Wapello
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255568804
- **Authorized official:** MR. TERRY J. PROTEXTOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (319) 337-7642

## Contact information

- **Practice address:** 218 N 2ND ST, WAPELLO, IA 52653-1202
- **Practice address phone:** (319) 523-8205
- **Practice address fax:** (319) 523-8840
- **Mailing address:** 218 N 2ND ST, WAPELLO, IA 52653-1202
- **Mailing address phone:** (319) 523-8205
- **Mailing address fax:** (319) 523-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 06/22/2009