Organization
UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, LLC
Active
Other names
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04817
BCBS DME
IA
05
—
0709183
—
IA
05
—
0709184
—
IA
Enumeration date
09/14/2006
Last updated
07/12/2024
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