Organization
STATE UNIVERSITY OF IOWA
Active
Other names
UI Family Care - Lowden
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L FISHER (CFO)
(319) 384-2844
Entity
Organization
Contact information
Practice address
305 MCKINLEY AVENUE, LOWDEN, IA 52255
(563) 941-5361
(563) 941-5453
Mailing address
305 MCKINLEY AVENUE, PO BOX 309, LOWDEN, IA 52255
(563) 941-5361
(563) 941-5453
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638718
RHC MEDICAID
IA
Enumeration date
10/25/2006
Last updated
02/15/2008
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