Midwest Care Tuscola, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MIDWEST CARE TUSCOLA, LLC

Practice address

1106 E Northline Rd
Tuscola, IL 61953-7836

Phone

(217) 253-6300

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard Kang

Title

VP of Accounting and Finance

Phone

(541) 747-3373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1821322751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E NORTHLINE RD",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619537836",
            "telephone_number": "217-253-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARE TUSCOLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "VP OF ACCOUNTING AND FINANCE",
        "authorized_official_telephone_number": "541-747-3373"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Silvio Martinez, DDS
• Casey Christine McClain, LPC
• James Ray Means
• Marie Bernadette Mendoza, PT, DPT
• Nicholas Alexander Micka, D.C.
• Mandi Miller, PT
• Shirley Moody, PA
• Petersen Health Enterprises LLC (Tuscola Rehabilitation & Health Care Center)
• Prairie Circle Dental, P.C.
• Alison S Ray, APRN

• Point of Service in Tuscola, IL
• Providers in Tuscola, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.