Organization
IRON COUNTY MEDICAL CARE FACILITY
Active
Other names
Skyway Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT POSSANZA (ADMINISTRATOR)
(906) 875-6671
Entity
Organization
Contact information
Practice address
1523 HIGHWAY US 2, CRYSTAL FALLS, MI 49920-9633
(906) 875-6671
(906) 875-6573
Mailing address
1523 HIGHWAY US 2, CRYSTAL FALLS, MI 49920-9633
(906) 875-6671
(906) 875-6573
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
368510
MI
314000000X
Skilled Nursing Facility
Primary
368510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09600
BLUE CROSS/BLUE SHIELD
MI
05
—
2085043
—
MI
01
—
30436
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/15/2006
Last updated
01/30/2023
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