State University of Iowa
NPI #1093790578 in Washington, Iowa
Provider Information
- NPI Number
- 1093790578
- Entity Type
- Organization
- Organization Name
- State University of Iowa
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE UNIVERSITY OF IOWA
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 7, 2005
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 414 E POLK ST
- City
- Washington
- State
- Iowa
- ZIP Code
- 52353-1237
- Phone
- (319) 653-4171
Authorized Official
- Name
- MR. JOE M MCKELVEY JR.
- Title
- SR DIRECTOR OF GOVERNMENT REIMB
- Phone
- (319) 467-8549
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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