Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
University of Iowa Hospitals and Clinics Durable Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
(319) 353-8820
Entity
Organization
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2372
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084012
—
IA
01
—
60058
WELLMARK BC/BS
IA
Enumeration date
08/02/2005
Last updated
05/02/2016
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