Organization
UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, LLC
Active
Other names
UI Community HomeCare-IV Infusion, UNiversity of Iowa Community Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE THOMAS SEDENKA PHARMD. (EXECUTIVE DIRECTOR)
(319) 688-6951
Entity
Organization
Contact information
Practice address
2949 SIERRA CT SW, IOWA CITY, IA 52240-8503
(319) 337-8522
(319) 337-8524
Mailing address
2949 SIERRA CT SW, IOWA CITY, IA 52240-8503
(319) 337-8522
(319) 337-8524
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
1068
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
1068
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709183
—
IA
05
—
0709184
—
IA
01
—
56534
BCBS INFUSION
IA
Enumeration date
08/02/2005
Last updated
07/12/2024
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