NPIMap

Organization Active NPI

State University of Iowa

Doing business as Mother's Milk Bank of Iowa

  • Durable Medical Equipment & Medical Supplies
  • Coralville, IA
National Provider Identifier
1194035436
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
Mother's Milk Bank of Iowa
Practice address
119 2ND St
Ste 400
Coralville, IA 52241-2691
Phone
(319) 356-2652
Fax
(319) 384-9933
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jean M Drulis
Title
Director
Phone
(319) 356-2652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

119 2ND St
Ste 400
Coralville, IA 52241-2691

Mailing address

119 2ND St
Ste 400
Coralville, IA 52241-2691
Phone (319) 356-2652

Other names 1

  • Mother's Milk Bank of Iowa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J Antonio G Lopez MD61 organizations share this tax ID, including this one
Part of
J Antonio G Lopez MD

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

119 2nd St
Ste 400
Coralville, IA 52241
Phone (319) 356-2652

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1194035436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 2ND ST",
            "address_2": "STE 400",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412691",
            "telephone_number": "319-356-2652",
            "fax_number": "319-384-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 2ND ST",
            "address_2": "STE 400",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412691",
            "telephone_number": "319-356-2652",
            "fax_number": "319-384-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "DRULIS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-356-2652"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother's Milk Bank of Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.