State University of Iowa

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

STATE UNIVERSITY OF IOWA

Doing business as

UI Family Care - Perry

Practice address

616 10TH St
Perry, IA 50220-2221

Phone

(515) 465-3553

Fax

(515) 465-4319

NPI assigned

Oct 25, 2006

Last updated

Jul 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth L. Fisher

Title

Cfo

Phone

(319) 384-2844

Specialties & licenses 1

Addresses

Other names 1

• UI Family Care - Perry Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State University of Iowa

  dba Student Health & Wellness

  • Student Health Clinic/Center
  • Iowa City, IA
  • NPI 1285635664

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1306920103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-384-2844"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI Family Care - Perry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Sohm, MA
• Steve D Sohn, MD
• Katherine Owen Spellman, D.D.S.
• Heather Spooner, PHARMD
• State University of Iowa (UI Family Care Perry)
• Gregory Dale Steffen, D.D.S.
• Stephanie Heitman (Counseling for Psychological Resilience)
• Aaron Eric Stoltz, D.C.
• Lance Jeremy Stumbo, LMFT
• Summit Family Dental

• Rural Health Clinic/Center in Perry, IA
• Providers in Perry, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.