Midwest Health Solutions LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MIDWEST HEALTH SOLUTIONS LLC

Doing business as

Midwest Rural Convenient Care

Practice address

612 E High St
Potosi, MO 63664-1429

Phone

(573) 438-3733

Fax

(573) 438-0046

NPI assigned

Aug 16, 2014

Last updated

Oct 3, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDWEST HEALTH SOLUTIONS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Paul Tindall, DO

Title

Owner

Phone

(573) 438-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Rural Convenient Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730588674. Details of each certification follow.

• CCN 793836 Rural health clinic · Active · Details

Rural health clinic certification: CCN 793836

Legal name

MIDWEST HEALTH SOLUTIONS LLC

Doing business as

MIDWEST RURAL CONVENIENT CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 29, 2015

Last certification

Mar 5, 2025

Ownership / control type

1C

Most recent change of ownership

Jun 15, 2015 (1 total)

Organization structure

LLCProprietary

Incorporated

Jun 29, 2015 in MO

Enrollment address

24 Southtowne Dr
Potosi, MO 63664-5729

Part of

Midwest Health Solutions LLC

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jeffrey Paul Tindall, DO

  • Family Medicine Physician
  • Potosi, MO
  • NPI 1043281694

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Midwest Health Solutions LLC

  dba Midwest Rural Convenient Care

  • Clinic/Center
  • Potosi, MO
  • NPI 1558741231
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1730588674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E HIGH ST STE 110",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641425",
            "telephone_number": "573-438-7333",
            "fax_number": "573-438-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E HIGH ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641429",
            "telephone_number": "573-438-3733",
            "fax_number": "573-438-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST HEALTH SOLUTIONS LLC",
        "enumeration_date": "2014-08-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "TINDALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-438-3733",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC NP",
            "identifier": "1528306652",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Rural Convenient Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jensen Ryan McGinness, LPC
• Tommi McMahan
• Nancy Lee McNail, PMHNP
• Carrie Marie Mercer, MSW, LCSW
• Midwest Health Solutions LLC (Midwest Rural Convenient Care)
• Midwest Imaging Center II, LLC
• Nicole Minx, LMT
• Carrie Jane Missey, L.M.T
• Sandra Lee Mitkos, FNP
• Alex Morgan

• Rural Health Clinic/Center in Potosi, MO
• Providers in Potosi, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.