| State University Of Iowa | |
|
105 9th Ave Belle Plaine IA 52208-2200 | |
| (319) 444-3210 | |
| (319) 444-4099 |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Family Medicine |
| Location | 105 9th Ave, Belle Plaine, Iowa |
| Authorized Official Name and Position | Philip E Roudabush (DIRECTOR, PATIENT FINANCIAL SERVICE) |
| Authorized Official Contact | 3193842334 |
| 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 52242-1007 Ph: () - | State University Of Iowa 105 9th Ave Belle Plaine IA 52208-2200 Ph: (319) 444-3210 |
| NPI Number | 1194773606 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194773606 | NPI | - | NPPES |
| 0280024 | Medicaid | IA | |
| CK8848 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Iowa Physicians Clinic Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 8th Ave, Belle Plaine, IA 52208 Phone: 319-444-2840 Fax: 319-444-3461 | |
St Luke's Jones Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 9th Ave, Belle Plaine, IA 52208 Phone: 319-444-2840 Fax: 319-444-3461 |