State University of Iowa
Organization Active NPI Rural Health Clinic/Center · Lowden, IA
NPI 1497839294 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1497839294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- STATE UNIVERSITY OF IOWA
- Practice address
- 305 McKinley Avenue
Lowden, IA 52255 - Phone
- (563) 941-5361
- Fax
- (563) 941-5453
- 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
305 McKinley Avenue
Lowden, IA 52255
Mailing address
305 McKinley Avenue
PO Box 309
Lowden, IA 52255
Phone (563) 941-5361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0638718 | Other | IA | RHC MEDICAID |
Other names
- UI Family Care - Lowden
Other providers in Lowden, IA
- Genesis Health System
- Lowden Dental Associates
- Kirk Douglas Meyer
- David Lee Samuelson
- State University of Iowa
All providers in Lowden, 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 Feb 15, 2008. 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.