Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
University of Iowa Hospitals & Clinics/Air & Mobile Critical Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
ANDREW NUGENT MD (MEDICAL DIRECTOR)
(319) 353-6360
Entity
Organization
Contact information
Practice address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 353-6360
(319) 384-9184
Mailing address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 353-6360
(319) 384-9184
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
8000100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231837
—
IA
01
—
60058
WELLMARK BCBS
IA
Enumeration date
08/02/2005
Last updated
10/24/2007
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