Provider Demographics
NPI:1982654711
Name:MIDWEST HEALTHSTRATEGIES, INC
Entity Type:Organization
Organization Name:MIDWEST HEALTHSTRATEGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:GILDERSLEEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-747-3365
Mailing Address - Street 1:3813 S. MADISON STREET
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47302-5758
Mailing Address - Country:US
Mailing Address - Phone:765-751-3303
Mailing Address - Fax:765-751-3353
Practice Address - Street 1:3300 W COMMUNITY DRIVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5457
Practice Address - Country:US
Practice Address - Phone:765-751-2555
Practice Address - Fax:765-751-2694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2002634801Medicaid
IN156603Medicare Oscar/Certification
IN2002634801Medicaid