| State University Of Iowa | |
|
218 N 2nd St Wapello IA 52653-1202 | |
| (319) 523-8205 | |
| Not Available |
| Full Name | State University Of Iowa |
|---|---|
| Speciality | Family Medicine |
| Location | 218 N 2nd St, Wapello, 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 218 N 2nd St Wapello IA 52653-1202 Ph: (319) 523-8205 |
| NPI Number | 1700834298 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700834298 | NPI | - | NPPES |
| 0175455 | Medicaid | IA | |
| CG4344 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Southeast Iowa Regional Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mulberry St, Wapello, IA 52653 Phone: 319-768-4085 | |
University Of Iowa Community Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N 2nd St, Wapello, IA 52653 Phone: 319-523-8205 Fax: 319-523-8840 | |
Henry County Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Mulberry St Ste A, Wapello, IA 52653 Phone: 888-377-7791 | |
Great River Physicians And Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Mulberry St, Wapello, IA 52653 Phone: 319-768-4085 |