# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHSC Maternal Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609915628
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 384-2334

## Contact information

- **Practice address:** 3501 HARRY LANGDON BLVD STE 1450, CHILD HEALTH SPECIALTY CLINICS, COUNCIL BLUFFS, IA 51503-7837
- **Practice address phone:** (712) 309-0041
- **Practice address fax:** (712) 309-0044
- **Mailing address:** 100 HAWKINS DRIVE, CHILD HEALTH SPECIALTY CLINICS, IOWA CITY, IA 52242
- **Mailing address phone:** (319) 354-6674
- **Mailing address fax:** (319) 356-3715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | NULL | Yes |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 03/01/2012