STATE UNIVERSITY OF IOWA – NPI #1225177579
Registered Nurse

STATE UNIVERSITY OF IOWA is a registered nurse (RN) located in COUNCIL BLUFFS, IA. NPPES has assigned the NPI number 1225177579 to STATE UNIVERSITY OF IOWA on February 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. STATE UNIVERSITY OF IOWA is also known by the name CHSC PED SCREENING CENTER. The primary taxonomy selected by this provider is 163WP0200X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Pediatrics

The NPI profile was previously updated about 14 years ago on Mar 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STATE UNIVERSITY OF IOWA below.

NPI Profile for
STATE UNIVERSITY OF IOWA

NPI Number
1225177579
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE UNIVERSITY OF IOWA
Other Name: CHSC PED SCREENING CENTER
Primary location
3501 HARRY LANGDON BLVD STE 1450
CHILD HEALTH SPECIALTY CLINICS
COUNCIL BLUFFS, IA 51503-7837
Phone: (712) 309-0041 Fax: (712) 309-0044
Mailing address
100 HAWKINS DRIVE
CHILD HEALTH SPECIALTY CLINICS
IOWA CITY, IA 52242
Phone: (319) 354-6674 Fax: (319) 356-3715
Organization Subpart
No
Authorized Official
PHILIP ROUDABUSH
DIRECTOR, PATIENT FINANCIAL SERVICE
Phone: (319) 384-2334
Updated
Identifiers

Identifiers for STATE UNIVERSITY OF IOWA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0734871
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0200X
- Registered Nurse / Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.