State University Of Iowa | |
3056 River Crossing Ct Riverside IA 52327-4733 | |
(319) 467-8355 | |
(319) 467-8351 |
Full Name | State University Of Iowa |
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Speciality | Clinic/center - Rural Health |
Location | 3056 River Crossing Ct, Riverside, Iowa |
Authorized Official Name and Position | Jay Brooks Jackson (VP FOR MEDICAL AFFAIRS) |
Authorized Official Contact | 3193358064 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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State University Of Iowa 200 Hawkins Dr Iowa City IA 52242-1009 Ph: (319) 356-1616 | State University Of Iowa 3056 River Crossing Ct Riverside IA 52327-4733 Ph: (319) 467-8355 |
NPI Number | 1982353785 |
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Provider Enumeration Date | 03/21/2022 |
Last Update Date | 03/21/2022 |
Identifier | Type | State | Issuer |
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1982353785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |