# IRON COUNTY MEDICAL CARE FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skyway Rehab Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346214426
- **Authorized official:** ROBERT POSSANZA (ADMINISTRATOR)
- **Authorized official phone:** (906) 875-6671

## Contact information

- **Practice address:** 1523 HIGHWAY US 2, CRYSTAL FALLS, MI 49920-9633
- **Practice address phone:** (906) 875-6671
- **Practice address fax:** (906) 875-6573
- **Mailing address:** 1523 HIGHWAY US 2, CRYSTAL FALLS, MI 49920-9633
- **Mailing address phone:** (906) 875-6671
- **Mailing address fax:** (906) 875-6573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 368510 | MI | — |
| 314000000X | Skilled Nursing Facility | 368510 | MI | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 01/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09600 | BLUE CROSS/BLUE SHIELD | MI |
| 05 | — | 2085043 | — | MI |
| 01 | — | 30436 | BLUE CROSS BLUE SHIELD | MI |