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MAPLE CITY HEALTH CARE CENTER, INC.
NPI 1033166095
Clinic/Center - Federally Qualified Health Center (FQHC) in Goshen, IN

Active since May 27, 2006CLIA 15D2225139 · Waiver
213 MIDDLEBURY ST, GOSHEN, IN 46528(574) 534-3300(574) 534-5412 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2020, Sep 25, 2020, Nov 1, 2019 (3 updates tracked since 2019).

About Maple City Health Care Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE CITY HEALTH CARE CENTER, INC. (NPI 1033166095) is a healthcare organization registered as a federally qualified health center (fqhc) in Goshen, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Karen Miller Rush, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1033166095
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMAPLE CITY HEALTH CARE CENTER, INC.
Location Address213 MIDDLEBURY STGoshen, IN 46528-2956
Mailing Address213 Middlebury StGoshen, IN 46528-2956 · (574) 534-3300 · Fax (574) 534-5412
Phone(574) 534-3300
Fax(574) 534-5412
Organization SubpartNo
Authorized OfficialKaren Miller RushDirector Of Finance · (574) 534-0088
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 31, 20203 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1033166095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in IN · 01035233B
213 MIDDLEBURY ST, Goshen, IN 46528
Open in Google Maps ↗

Other Identifiers 1

Medicaid100102730AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2225139

Maple City Health Care Center, Inc · Goshen, IN
Active · expires Dec 2, 2027
CLIA Number15D2225139
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorStephen D. Harmon
Laboratory Phone(574) 534-3300
Laboratory LocationMaple City Health Care Center, Inc808 N 3rd Street, Goshen, IN 46528
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAITLYN E DELGADO FNP-BC
Nurse Practitioner (Family)
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
MS. INGRID ELIZABETH MOSER RD
Dietitian, Registered
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
THOMAS EDMUND KREIDER MD
Psychiatry & Neurology (Psychiatry)
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
SUSAN KAY DERRICKSON NP-BC
Nurse Practitioner
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
YESSICA VELOZ
Registered Nurse (Community Health)
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3000
KAYLAN DUPRE PHARMD
Pharmacist
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
DR. MARGARET JOY LOEWEN M.D.
General Practice
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300
STEPHANIE ESQUEDA
Social Worker
213 MIDDLEBURY ST
GOSHEN, IN 46528
Elkhart County (574) 534-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maple City Health Care Center, Inc.'s NPI number?

The NPI number for Maple City Health Care Center, Inc. is 1033166095. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Maple City Health Care Center, Inc. located?

Maple City Health Care Center, Inc. is located at 213 Middlebury St, Goshen, IN 46528. The listed phone number is (574) 534-3300.

What is Maple City Health Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Maple City Health Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2225139) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maple City Health Care Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Maple City Health Care Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maple City Health Care Center, Inc. was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.