NPIMap

Organization Active NPI

State University of Iowa

Doing business as Student Health & Wellness

  • Student Health Clinic/Center
  • Iowa City, IA
National Provider Identifier
1285635664
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
Student Health & Wellness
Practice address
4189 WL University of Iowa
Iowa City, IA 52242-1100
Phone
(319) 335-8376
Fax
(319) 335-7247
NPI assigned
Aug 9, 2005
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
James Kellogg
Title
Director Student Health Service
Phone
(319) 384-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

4189 WL University of Iowa
Iowa City, IA 52242-1100

Mailing address

4189 WL University of Iowa
Iowa City, IA 52242-1100
Phone (319) 335-8376

Other names 1

  • Student Health & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000060 IA Part B Supplier - Clinic/Group Practice 7618884230 Receives reassigned benefits from 2,348 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 36

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 36

National Provider Directory

National Provider Directory
Part of
Brian W Omeara MD

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 50)

411 10th St SE
Ste 300
Cedar Rapids, IA 52403
Phone (319) 364-5321

105 E 9th St
#A
Coralville, IA 52241
Phone (319) 467-2050

2220 9th St
Coralville, IA 52241

2510 Corridor Way
Ste 1
Coralville, IA 52241
Phone (319) 337-4769

2593 Holiday Rd
Coralville, IA 52241
Phone (319) 248-0065

3501 Harry Langdon Blvd
Council Bluffs, IA 51503
Phone (712) 309-0041

904 E Taylor St
Ste B
Creston, IA 50801
Phone (641) 782-9500

16773 State Highway 2
Decatur, IA 50067

200 Hawkins Dr
Des Moines, IA 50331

777 Mazzuchelli Pl
Dubuque, IA 52001
Phone (319) 557-8241

100 Hawkins Dr
Ste 221CDD
Iowa City, IA 52242

100 Hawkins Dr
Ste 246F
Iowa City, IA 52242

1130 S Scott Blvd
Iowa City, IA 52240
Phone (319) 339-7472

1201 N Dodge St
Iowa City, IA 52245
Phone (319) 337-6310

125 S Dubuque St
Ste 285
Iowa City, IA 52240

1360 N Dodge St
Ste 1360
Iowa City, IA 52245

1360 N Dodge St
Ste 1500
Iowa City, IA 52245
Phone (319) 351-1448

1360 N Dodge St
Ste 2000
Iowa City, IA 52245
Phone (319) 384-7141

1664 Sycamore St
Iowa City, IA 52240

1851 Lower Muscatine Rd
Iowa City, IA 52240

200 Hawkins Dr
#11128
Iowa City, IA 52242
Phone (319) 356-2864

200 Hawkins Dr
#5231
Iowa City, IA 52242

200 Hawkins Dr
#C123
Iowa City, IA 52242
Phone (319) 356-2256

200 Hawkins Dr
#C33
Iowa City, IA 52242
Phone (319) 353-6239

200 Hawkins Dr
#C660
Iowa City, IA 52242
Phone (319) 356-2991

Practitioners & affiliated clinicians

Practitioners 1,466

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,466

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1285635664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4189 WL UNIVERSITY OF IOWA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421100",
            "telephone_number": "319-335-8376",
            "fax_number": "319-335-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4189 WL UNIVERSITY OF IOWA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421100",
            "telephone_number": "319-335-8376",
            "fax_number": "319-335-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR STUDENT HEALTH SERVICE",
        "authorized_official_telephone_number": "319-384-1135"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.