Organization
MIDWEST HEALTHSTRATEGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. GILDERSLEEVE (CHAIRMAN OF THE BOARD)
(765) 747-3365
Entity
Organization
Contact information
Practice address
1393 N BALDWIN AVENUE, MARION, IN 46952-1913
(765) 671-7705
(765) 671-7707
Mailing address
3813 S. MADISON STREET, MUNCIE, IN 47302-5758
(765) 751-3303
(765) 751-3353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353791
ANTHEM BCBS
IN
05
—
200390490E
—
IN
Enumeration date
07/17/2006
Last updated
09/24/2008
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