Organization
MAPLE CITY HEALTH CARE CENTER, INC
Active
Organization
MAPLE CITY HEALTH CARE CENTER, INC
Active
Parent organization
MAPLE CITY HEALTH CARE CENTER, INC
Other names
Maple City Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAPLE CITY HEALTH CARE CENTER, INC
Authorized official
KAREN MILLER RUSH (DIRECTOR OF FINANCE)
(574) 534-0088
Entity
Organization
Contact information
Practice address
814 N 3RD ST, GOSHEN, IN 46528-2632
(574) 534-0088
Mailing address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
09/28/2020
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