Provider Demographics
NPI:1972779452
Name:SKIFF MEDICAL CENTER
Entity Type:Organization
Organization Name:SKIFF MEDICAL CENTER
Other - Org Name:MONROE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-792-1273
Mailing Address - Street 1:204 N 4TH AVE E
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:641-792-1273
Mailing Address - Fax:
Practice Address - Street 1:206 E MARION ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:IA
Practice Address - Zip Code:50170-7763
Practice Address - Country:US
Practice Address - Phone:641-259-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-05
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty