State University of Iowa
Organization Active NPI Rural Health Clinic/Center · Perry, IA
NPI 1306920103 · NPPES record last updated Jul 7, 2009
Key facts
- NPI
- 1306920103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- STATE UNIVERSITY OF IOWA
- Practice address
- 616 10TH St
Perry, IA 50220-2221 - Phone
- (515) 465-3553
- Fax
- (515) 465-4319
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth L. Fisher
- Title
- Cfo
- Phone
- (319) 384-2844
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
616 10TH St
Perry, IA 50220-2221
Mailing address
616 10TH St
Perry, IA 50220-2221
Phone (515) 465-3553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0638809 | Other | IA | RHC MEDICAID |
Other names
- UI Family Care - Perry
Other providers in Perry, IA
- Nicholas Sohm
- Steve D Sohn
- Katherine Owen Spellman
- Heather Spooner
- State University of Iowa
- Gregory Dale Steffen
- Stephanie Heitman
- Aaron Eric Stoltz
- Lance Jeremy Stumbo
- Summit Family Dental
All providers in Perry, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.