NPIMap

Organization Active NPI

State University of Iowa

Doing business as UI Health Care Holiday Road--Occupational Health

  • Occupational Medicine Clinic/Center
  • Coralville, IA
National Provider Identifier
1962047522
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
UI Health Care Holiday Road--Occupational Health
Practice address
2591 Holiday Rd
Coralville, IA 52241-3039
Phone
(319) 356-3335
Fax
(319) 467-7181
NPI assigned
Nov 7, 2019
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Douglas J Vandaele, MDNPI 1821082587
Title
Associate Dean
Phone
(319) 353-8162

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
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2591 Holiday Rd
Coralville, IA 52241-3039

Mailing address

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 356-3335

Other names 1

  • UI Health Care Holiday Road--Occupational Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Univ of Ia Hosps Clins57 organizations share this tax ID, including this one
Part of
Univ of Ia Hosps Clins

Organizations with this tax ID in the same state 14

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

View all 14

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": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1962047522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413039",
            "telephone_number": "319-356-3335",
            "fax_number": "319-467-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413039",
            "telephone_number": "319-356-3335",
            "fax_number": "319-467-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "VANDAELE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "319-353-8162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI Health Care Holiday Road--Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UI Health Care Holiday Road--Occupational Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.