Provider Demographics
NPI:1134321615
Name:PROGRESS INDUSTRIES
Entity Type:Organization
Organization Name:PROGRESS INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-792-6119
Mailing Address - Street 1:1017 E 7TH ST N
Mailing Address - Street 2:PO BOX 1449
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-2141
Mailing Address - Country:US
Mailing Address - Phone:641-792-6119
Mailing Address - Fax:641-792-0337
Practice Address - Street 1:1017 E 7TH ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-2141
Practice Address - Country:US
Practice Address - Phone:641-792-6119
Practice Address - Fax:641-792-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1745406OtherHABILITATION