Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI Family Care - Perry
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L. FISHER (CFO)
(319) 384-2844
Entity
Organization
Contact information
Practice address
616 10TH ST, PERRY, IA 50220-2221
(515) 465-3553
(515) 465-4319
Mailing address
616 10TH ST, PERRY, IA 50220-2221
(515) 465-3553
(515) 465-4319
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638809
RHC MEDICAID
IA
Enumeration date
10/25/2006
Last updated
07/07/2009
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