# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UI Health Care River Crossing Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982353785
- **Authorized official:** DR. JAY BROOKS JACKSON MD (VP FOR MEDICAL AFFAIRS)
- **Authorized official phone:** (319) 335-8064

## Contact information

- **Practice address:** 3056 RIVER CROSSING CT, RIVERSIDE, IA 52327-4733
- **Practice address phone:** (319) 467-8355
- **Practice address fax:** (319) 467-8351
- **Mailing address:** 200 HAWKINS DR, IOWA CITY, IA 52242-1009
- **Mailing address phone:** (319) 356-1616

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/21/2022