CENTERVILLE MEDICAL CLINIC – NPI #1700835865
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CENTERVILLE MEDICAL CLINIC is a provider located in CENTERVILLE, IA. NPPES has assigned the NPI number 1700835865 to CENTERVILLE MEDICAL CLINIC on May 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTERVILLE MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is STATE UNIVERSITY OF IOWA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Jul 07, 2009. 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 CENTERVILLE MEDICAL CLINIC below.

NPI Profile for
STATE UNIVERSITY OF IOWA

NPI Number
1700835865
Enumeration Date

(more than 20 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
Doing Business As (dba): CENTERVILLE MEDICAL CLINIC
Primary location
19876 ST. JOSEPH DRIVE
CENTERVILLE, IA 52544
Phone: (641) 856-8684 Fax:
Mailing address
2941 SIERRA CT SW
IOWA CITY, IA 52240-8503
Phone: (319) 337-7642 Fax: (319) 339-1449
Organization Subpart
No
Authorized Official
KENNETH FISHER
CFO
Phone: (319) 384-2844
Updated
Identifiers

Identifiers for CENTERVILLE MEDICAL CLINIC

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
OTHERRR MEDICAREIADA0044
OTHERWELLMARKIA33226
MEDICAIDIA0280339
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
207Q00000X
- Family Medicine (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.