MEDICARE: MIDWEST HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1154969426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	326 S MOUNT AUBURN RD STE 201
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4907
Country	:	US
Telephone Number	:	573-335-4715
Fax Number	:	573-334-2303

Provider Business Practice Location Address
First Line	:	326 S MOUNT AUBURN RD STE 201
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4907
Country	:	US
Telephone Number	:	573-335-4715
Fax Number	:	573-334-2303

Authorized Official
Title or Position	:	CEO
Name	:	DR. GREGORY A TOBIN
Credential	:	MD
Telephone Number	:	573-651-4488

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	12/17/2019

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