Organization
MAPLE CITY HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MILLER RUSH (DIRECTOR OF FINANCE)
(574) 534-0088
Entity
Organization
Contact information
Practice address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
(574) 534-5412
Mailing address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
(574) 534-5412
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
01035233B
IN
261QF0400X
Federally Qualified Health Center (FQHC)
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102730A
—
IN
Enumeration date
05/27/2006
Last updated
12/31/2020
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