# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE UNIVERSITY OF IOWA
- **Other names:** University of Iowa Health Care, University of Iowa Hospitals & Clinics/Medical Service Plan
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477554814
- **Legal business name:** STATE UNIVERSITY OF IOWA
- **Authorized official:** DOUGLAS J VANDAELE MD (ASSOCIATE DEAN)
- **Authorized official phone:** (319) 353-8162

## Contact information

- **Practice address:** 200 HAWKINS DR, IOWA CITY, IA 52242
- **Practice address phone:** (319) 356-1616
- **Practice address fax:** (319) 384-5164
- **Mailing address:** 200 HAWKINS DR, IOWA CITY, IA 52242-1009
- **Mailing address phone:** (319) 356-1616
- **Mailing address fax:** (319) 384-5164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |
| 207R00000X | Internal Medicine Physician | — | IA | — |
| 208000000X | Pediatrics Physician | — | IA | — |
| 208600000X | Surgery Physician | — | IA | — |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 04/30/2024