Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
Student Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
JAMES KELLOGG (DIRECTOR STUDENT HEALTH SERVICE)
(319) 384-1135
Entity
Organization
Contact information
Practice address
4189 WL UNIVERSITY OF IOWA, IOWA CITY, IA 52242-1100
(319) 335-8376
(319) 335-7247
Mailing address
4189 WL UNIVERSITY OF IOWA, IOWA CITY, IA 52242-1100
(319) 335-8376
(319) 335-7247
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089771
—
IA
01
—
08977
WELLMARK BC/BS
IA
Enumeration date
08/09/2005
Last updated
05/09/2013
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