Healthcare Provider Details

I. General information

NPI: 1043360159
Provider Name (Legal Business Name): MIDWEST HEALTHSTRATEGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1756 W 100 S
PORTLAND IN
47371-8204
US

IV. Provider business mailing address

3816 S. MADISON STREET
MUNCIE IN
47302-5758
US

V. Phone/Fax

Practice location:
  • Phone: 260-726-4020
  • Fax: 260-726-1805
Mailing address:
  • Phone: 765-751-3303
  • Fax: 765-751-3353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT E. GILDERSLEEVE
Title or Position: CHAIRMAN OF THE BOARD
Credential:
Phone: 765-747-3365