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1912752841 NPI number — STATE UNIVERSITY OF IOWA

NPI Number: 1912752841
Health Care Provider/Practitioner: STATE UNIVERSITY OF IOWA

Information about “1912752841” NPI (STATE UNIVERSITY OF IOWA) exists in 1912752841 in HTML format HTML  |  1912752841 in plain Text format TXT  |  1912752841 in PDF (Portable Document Format) PDF  |  1912752841 in an XML format XML  formats.

NPI Number : 1912752841 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912752841",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "STATE UNIVERSITY OF IOWA",
    "ParentOrgTIN": null,
    "OrgName": "STATE UNIVERSITY OF IOWA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 HAWKINS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IOWA CITY",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52242-1009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "865 LINCOLN RD STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BETTENDORF",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52722-4159",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "563-344-2240",
    "PracticeLocationAddressFaxNumber": "563-362-3059",
    "EnumerationDate": "04/23/2024",
    "LastUpdateDate": "04/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JAMIESON",
    "AuthorizedOfficialFirstName": "DENISE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP FOR MEDICAL AFFAIRS, DEAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, MPH",
    "AuthorizedOfficialTelephoneNumber": "319-335-8064",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QU0200X",
        "TaxonomyName": "Urgent Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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