State University Of Iowa in Washington - End-stage Renal Disease (esrd) Treatment
State University Of Iowa - NPI 1093790578
State University Of Iowa is a End-stage Renal Disease (esrd) Treatment in Washington, Iowa. State University Of Iowa practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for State University Of Iowa is 1093790578. The last update date is 2018-11-21.
State University Of Iowa's current location address is 414 E Polk St, Washington, Iowa. You can contact this provider via phone number 3196534171. The mailing address for State University Of Iowa is 414 E Polk St, Washington, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State University Of Iowa |
|---|---|
| Address | 414 E Polk St, Washington, Iowa |
| Phone Number | 3196534171 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FOR MED |
|---|---|
| Authorized Official Name | Jackson Brooks Jay |
| Credentials | MD |
| Telephone Number | 3193358064 |
NPI Number Detail
| NPI Number | 1093790578 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2018-11-21 |
Provider Mailing Address Detail
| Address | 414 E Polk St |
|---|---|
| City | Washington |
| State | Iowa (IA) |
| Post Code | 523531237 |
| Phone Number | 3196534171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62306 | IA | WELLMARK BCBS | |
| 600585 | IA | -- |
Post Comment/ Review Below
What is the State University Of Iowa's 1093790578?
The State University Of Iowa's NPI (National Provider Identifier) Number is 1093790578. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the State University Of Iowa's physical address?
The State University Of Iowa is physically located at 414 E Polk St, in the city of Washington, IA, with the postal code 523531237.
What is State University Of Iowa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State University Of Iowa is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093790578 to State University Of Iowa?
The Centers for Medicare & Medicaid Services assigned the 1093790578 to State University Of Iowa on 2005-12-07.
As of what date was the information regarding State University Of Iowa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to State University Of Iowa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-11-21.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA