NPIMap

Organization Active NPI

State University of Iowa

Doing business as UI HealthCare Scott Blvd Urgent Care

  • Urgent Care Clinic/Center
  • Iowa City, IA
National Provider Identifier
1669959573
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
UI HealthCare Scott Blvd Urgent Care
Practice address
3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone
(319) 339-7472
Fax
(319) 467-7400
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Dr. Jay Brooks Jackson, MDNPI 1972542652
Title
VP for Medical Affairs
Phone
(319) 335-8064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3640 Middlebury Rd
Iowa City, IA 52245-2712

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 339-7472

Other names 1

  • UI HealthCare Scott Blvd Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0980959Ui Health Care- Scott Blvd3640 Middlebury Road, Iowa City, IA 52245AccreditationSep 10, 2026

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 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1669959573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-339-7472",
            "fax_number": "319-467-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MIDDLEBURY RD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452712",
            "telephone_number": "319-339-7472",
            "fax_number": "319-467-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "VP FOR MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "319-335-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI HealthCare Scott Blvd Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UI HealthCare Scott Blvd Urgent Care",
            "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 Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.