# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UI QuickCare-North Dodge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821488172
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 384-2334

## Contact information

- **Practice address:** 2557 N DODGE ST, IOWA CITY, IA 52245-9556
- **Practice address phone:** (319) 384-8822
- **Mailing address:** 2557 N DODGE ST, IOWA CITY, IA 52245-9556
- **Mailing address phone:** (319) 384-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015