| State University Of Iowa | |
|
3056 River Crossing Ct Riverside IA 52327-4733 | |
| (319) 467-8355 | |
| (319) 467-8351 |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3056 River Crossing Ct, Riverside, Iowa |
| Authorized Official Name and Position | Jay Brooks Jackson (VP FOR MEDICAL AFFAIRS) |
| Authorized Official Contact | 3193358064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State University Of Iowa 200 Hawkins Dr Iowa City IA 52242-1009 Ph: (319) 356-1616 | State University Of Iowa 3056 River Crossing Ct Riverside IA 52327-4733 Ph: (319) 467-8355 |
| NPI Number | 1982353785 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982353785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |