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State University of Iowa — NPI 1629054846, North Liberty, IA | NPI Central

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NPI 1629054846

OrganizationActive

State University of Iowa

NPI 1629054846 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Liberty, IA

Provider details

NPI number: 1629054846
Entity type: Organization
Primary specialty: End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
Parent organization: State University of Iowa
Organization subpart: Yes
Authorized official: Joe Mckelvey, Sr Director of Government Reimb(319) 467-8549

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Practice location

5 Lions Dr

North Liberty, IA 52317-9575

Phone: (319) 467-7190

Approximate (ZIP-level) locationGet directions

More IA providers

Mailing address

200 Hawkins Dr

Iowa City, IA 52242-1009

Other names (DBA / former)

Doing business as: University of Iowa Health Care Medical Center-North Liberty Dialysis
Doing business as: University of Iowa Hospitals & Clinics-North Liberty Dialysis Center

Registry dates

Enumerated: 2005-12-20
Last updated: 2024-04-24
Certified: 2024-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.