| State University Of Iowa | |
|
616 10th St Perry IA 50220-2221 | |
| (515) 465-3553 | |
| (515) 465-4319 |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 616 10th St, Perry, Iowa |
| Authorized Official Name and Position | Kenneth L. Fisher (CFO) |
| Authorized Official Contact | 3193842844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State University Of Iowa 616 10th St Perry IA 50220-2221 Ph: (515) 465-3553 | State University Of Iowa 616 10th St Perry IA 50220-2221 Ph: (515) 465-3553 |
| NPI Number | 1306920103 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306920103 | NPI | - | NPPES |
| 0638809 | Other | IA | RHC MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
State University Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 10th St, Perry, IA 50220 Phone: 515-465-3553 | |
Dallas County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 616 10th St, Perry, IA 50220 Phone: 515-465-3553 | |
Dallas County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 10th St, Perry, IA 50220 Phone: 515-465-3547 Fax: 515-465-2922 |