MAPLE CITY HEALTH CARE CENTER, INC (NPI# 1588209142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588209142 |
| Entity Type | Organization |
| Organization Name | MAPLE CITY HEALTH CARE CENTER, INC |
| Other Organization Name | MAPLE CITY DENTAL |
| Practice Address |
814 N 3rd St Goshen IN 46528-2632 |
| Mailing Address |
213 Middlebury St Goshen IN 46528-2956 |
| Practice Telephone | 5745340088 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | KAREN MILLER RUSH (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5745340088 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAPLE CITY HEALTH CARE CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maple City Dental | Doing Business As Name - Organization |
| MCHCC 807 N Main | Other Name - Individual/Organization |
| Street Address |
814 N 3RD ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1235185513 | Open and Wide Mri LLC | Radiology | 2856 Eisenhower Dr N., Suite 1, Goshen, IN 46528 | 2006-05-26 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1861850695 | Gerardo Diaz | Nurse Practitioner | 808 N 3rd St, Goshen, IN 46528 | 2016-02-08 |
| Find all providers in zip 46528 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479298 | Cornerstone Family Healthcare | Clinic/Center | 2 Fletcher St, Goshen, NY 10924-1402 | 2020-05-27 |
| 1891181517 | Maple City Health Care Center, Inc. | Clinic/Center | 808 N 3rd St, Goshen, IN 46528-7100 | 2015-04-09 |
| 1861696841 | Middletown Community Health Center Inc | Clinic/Center | 53 Gibson Road, Goshen, NY 10924 | 2007-06-13 |
| 1336237072 | Family Healthcare Network | Clinic/Center | 31180 Road 72, Goshen, CA 93227-9997 | 2006-10-10 |
| 1033166095 | Maple City Health Care Center, Inc. | Clinic/Center | 213 Middlebury St, Goshen, IN 46528-2956 | 2006-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.