| State University Of Iowa | |
|
305 Mckinley Avenue Lowden IA 52255 | |
| (563) 941-5361 | |
| (563) 941-5453 |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Family Medicine |
| Location | 305 Mckinley Avenue, Lowden, Iowa |
| Authorized Official Name and Position | Philip E Roudabush (DIRECTOR,PATIENT FINANCIAL SERVICES) |
| 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 305 Mckinley Avenue Lowden IA 52255 Ph: (563) 941-5361 |
| NPI Number | 1528017365 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528017365 | NPI | - | NPPES |
| 0282012 | Medicaid | IA | |
| 0548780011 | Other | IA | DME |
| CK8849 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
State University Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Mckinley Avenue, Lowden, IA 52255 Phone: 563-941-5361 Fax: 563-941-5453 | |
Genesis Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Mckinley Avenue, Lowden, IA 52255 Phone: 563-941-5361 Fax: 563-941-5453 |