Organization Name: | MIDWEST HEALTH SOLUTIONS LLC |
NPI Number: | 1730588674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY PAUL TINDALL (OWNER) |
Mailing Address: | 24 Southtowne Dr Potosi |
State: | MO US |
Postal Code: | 636645729 |
Phone Number: | 5734383733 |
Fax Number: | 5734380046 |
NPI Enumeration Date: | 08/16/2014 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |