Provider Demographics
NPI:1497262562
Name:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Other - Org Name:UI SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SEDENKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:319-688-6951
Mailing Address - Street 1:2949 SIERRA CT SW
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-8503
Mailing Address - Country:US
Mailing Address - Phone:319-337-8522
Mailing Address - Fax:319-354-4182
Practice Address - Street 1:901 E 2ND AVE UNIT 120
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2227
Practice Address - Country:US
Practice Address - Phone:319-354-0055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-10
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1068332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA712773Medicaid