# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE UNIVERSITY OF IOWA
- **Other names:** University of Iowa Hospitals & Clinics Respite Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730180761
- **Legal business name:** STATE UNIVERSITY OF IOWA
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 384-2334

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2005
- **Last updated:** 05/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0164368 | — | IA |