Organization Name: | IRON COUNTY MEDICAL CARE FACILITY |
NPI Number: | 1346214426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHESTER E PINTARELLI (ADMINISTRATOR) |
Mailing Address: | 1523 Highway Us 2 Crystal Falls |
State: | MI US |
Postal Code: | 499209633 |
Phone Number: | 9068756671 |
Fax Number: | 9068756573 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | 368510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |