Provider Demographics
NPI:1326041369
Name:SKIFF MEDICAL CENTER
Entity Type:Organization
Organization Name:SKIFF MEDICAL CENTER
Other - Org Name:SKIFF HOME CARE/JASPER COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:641-792-1273
Mailing Address - Street 1:204 N 4TH AVE EAST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3135
Mailing Address - Country:US
Mailing Address - Phone:641-792-5086
Mailing Address - Fax:641-791-4813
Practice Address - Street 1:204 N 4TH AVE EAST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3135
Practice Address - Country:US
Practice Address - Phone:641-792-5086
Practice Address - Fax:641-791-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670372Medicaid
IA67037OtherBLUE CROSS BLUE SHIELD IA
IA1670372OtherCOMMERCIAL INSURANCES
IA167037Medicare Oscar/Certification