Organization · Type 2 NPI

State University of Iowa

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Liberty, IA

NPI number 1629054846 Active

Practice location

5 Lions Dr
North Liberty, IA 52317-9575

Call (319) 467-7190 Map

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1629054846
Entity type: Organization (Type 2)
Issued: Dec 20, 2005
Last updated: Apr 24, 2024
Status: Active
Subpart: Yes of State University of Iowa

Other names

<unavail>
University of Iowa Health Care Medical Center-North Liberty Dialysis · doing business as
University of Iowa Hospitals & Clinics-North Liberty Dialysis Center · doing business as

Authorized official

Mr. Joe M McKelvey
SR Director of Government Reimb
(319) 467-8549

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629054846

State University of Iowa's National Provider Identifier is 1629054846, issued on Dec 20, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in North Liberty, IA. The record was last updated on Apr 24, 2024.