Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State University of Iowa

Organization Family Medicine Physician · NPI 1700835865

State University of Iowa is a Family Medicine Physician in Centerville, Iowa. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

19876 St Joseph Dr
Centerville, IA 52544
Phone: (641) 856-8684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1700835865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Fisher — Cfo · (319) 384-2844
Other names Centerville Medical Clinic
NPI enumeratedMay 8, 2006
Last updated in NPPESJuly 7, 2009
Mailing address2941 Sierra Ct Sw, Iowa City, IA 52240-8503

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