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MAPLE CITY DENTAL
NPI 1588209142
Clinic/Center - Federally Qualified Health Center (FQHC) in Goshen, IN

Active since November 07, 2019CLIA 15D2207537 · Waiver
814 N 3RD ST, GOSHEN, IN 46528(574) 534-0088 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2020, Nov 7, 2019 (2 updates tracked since 2019).

About Maple City Dental NPPES

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

MAPLE CITY DENTAL (NPI 1588209142) is a healthcare organization registered as a federally qualified health center (fqhc) in Goshen, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Karen Miller Rush, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1588209142
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMAPLE CITY HEALTH CARE CENTER, INC
Location Address814 N 3RD STGoshen, IN 46528-2632
Mailing Address213 Middlebury StGoshen, IN 46528-2956
Phone(574) 534-0088
Organization SubpartYes
Authorized OfficialKaren Miller RushDirector Of Finance · (574) 534-0088
Enumeration DateNovember 7, 2019
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
✔ NPI 1588209142 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
814 N 3RD ST, Goshen, IN 46528
Open in Google Maps ↗

Other Names 1

Doing Business AsMaple City Dental

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 15D2207537

Maple City Dental · Goshen, IN
Active · expires Dec 28, 2026
CLIA Number15D2207537
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorStephen Harmon
Laboratory Phone(574) 534-3300
Laboratory LocationMaple City Dental814 N 3rd Street, Goshen, IN 46528
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. DANIEL E WHITE DDS
Dentist (General Practice)
814 N 3RD ST
GOSHEN, IN 46528
Elkhart County (574) 500-3737
LACEY CARROLL RDH
Dental Hygienist
814 N 3RD ST
GOSHEN, IN 46528
Elkhart County (574) 500-3737
LINDSEY FISHER
Dental Hygienist
814 N 3RD ST
GOSHEN, IN 46528
Elkhart County (574) 500-3737
MONICA YARETT MURILLO
Dental Hygienist
814 N 3RD ST
GOSHEN, IN 46528
Elkhart County (574) 500-3737
MR. ALFREDO RUBIO JR.
Dental Hygienist
814 N 3RD ST
GOSHEN, IN 46528
Elkhart County (574) 500-3737

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 1588209142. It was assigned to this organization in the NPPES registry on November 7, 2019. The provider is doing business as Maple City Dental.

Where is Maple City Health Care Center, Inc located?

Maple City Health Care Center, Inc is located at 814 N 3rd St, Goshen, IN 46528. The listed phone number is (574) 534-0088.

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 15D2207537) is associated with this NPI, valid through December 28, 2026. 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, CareSource and DentaQuest USA Insurance 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 September 28, 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.