Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

State University of Iowa

Organization Family Medicine Physician · NPI 1700835865

State University of Iowa provides Family Medicine Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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

Other providers in Centerville