| Organization Name: | UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES, L.L.C. |
| NPI Number: | 1154782514 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE A MILLER (CHIEF EXECUTIVE) |
| Mailing Address: | 3 Lions Dr North Liberty |
| State: | IA US |
| Postal Code: | 523179575 |
| Phone Number: | 3193563335 |
| Fax Number: | 3194677181 |
| NPI Enumeration Date: | 03/14/2016 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |