Provider Demographics
NPI:1902824956
Name:MIDWEST HEALTHSTRATEGIES, INC
Entity Type:Organization
Organization Name:MIDWEST HEALTHSTRATEGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAVERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-751-5072
Mailing Address - Street 1:C/O GARNET E KING
Mailing Address - Street 2:3813 S MADISON ST
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47302
Mailing Address - Country:US
Mailing Address - Phone:765-213-3707
Mailing Address - Fax:765-213-3888
Practice Address - Street 1:1745 W 100 S
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:IN
Practice Address - Zip Code:47371
Practice Address - Country:US
Practice Address - Phone:260-726-4020
Practice Address - Fax:260-726-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000230588OtherANTHEM BCBS
IN156603Medicare ID - Type Unspecified