Ui Healthcare-River Crossing Pharmacy

LBN: State University Of Iowa
Ui Healthcare-River Crossing Pharmacy is an health care organization with primary practice located at 3056 River Crossing Court Ste A, Riverside IA 52327. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. State University Of Iowa can be contacted via phone (319) 467-8383, or through Jackson, Jay Brooks via phone (319) 335-8064.

Contact Information

Primary practice address
3056 River Crossing Court Ste A Riverside IA 52327
Phone: (319) 467-8383
Fax: (319) 467-8378
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jay Brooks Doctor of Medicine (MD)
Phone: (319) 335-8064

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 18469 Iowa
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 1370 Iowa

Profile Details

NPI number 1174845101
LBN Legal business name State University Of Iowa
DBA Doing business as Ui Healthcare-River Crossing Pharmacy
Authorized official Jackson, Jay Brooks Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Sep 6th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174845101 NPPES
Iowa MEDICAID 0402616
Iowa Other 1623772

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