| Organization Name: | MAPLE CITY HEALTH CARE CENTER, INC. |
| NPI Number: | 1033166095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES NELSON GINGERICH (DIRECTOR) |
| Mailing Address: | 213 Middlebury St Goshen |
| State: | IN US |
| Postal Code: | 465282956 |
| Phone Number: | 5745343300 |
| Fax Number: | 5745345412 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 01035233B |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |