Organization
MAPLE CITY HEALTH CARE CENTER, INC.
Active
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)
—
—
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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