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NPI Code Detail

MEDICARE: MIDWEST HEALTHSTRATEGIES, INC.

MEDICARE: MIDWEST HEALTHSTRATEGIES, 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
1261QR0400XRehabilitation Clinic/Center
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000353791OTHERINANTHEM

General Provider Information

NPI Number : 1336167378
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST HEALTHSTRATEGIES, INC.
Provider Business Mailing Address
First Line : 3813 S. MADISON STREET
Second Line :
City : MUNCIE
State : IN
Zip : 47302-5758
Country : US
Telephone Number : 765-751-3303
Fax Number : 765-751-3353
Provider Business Practice Location Address
First Line : 1709 N WALNUT STREET
Second Line :
City : HARTFORD CITY
State : IN
Zip : 47348-1359
Country : US
Telephone Number : 765-348-4197
Fax Number : 765-348-9627
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : MR. ROBERT E. GILDERSLEEVE
Credential :
Telephone Number : 765-747-3365
Provider Enumeration Date : 07/17/2006
Last Update Date : 09/24/2008

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Directions to “MIDWEST HEALTHSTRATEGIES, INC. ” Practice Location

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