| State University Of Iowa | |
|
1314 S Stuart St Sigourney IA 52591-1154 | |
| (641) 622-3840 | |
| Not Available |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Family Medicine |
| Location | 1314 S Stuart St, Sigourney, 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 1314 S Stuart St Sigourney IA 52591-1154 Ph: (641) 622-3840 |
| NPI Number | 1003864513 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003864513 | NPI | - | NPPES |
| CK8852 | Other | IA | RR MEDICARE |
| 0280032 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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State University Of Iowa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 S Stuart St, Sigourney, IA 52591 Phone: 641-622-3840 | |
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