Healthcare Provider Details

I. General information

NPI: 1942282603
Provider Name (Legal Business Name): MAPLETON MEDICAL CENTER, INC. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E 34TH ST
INDIANAPOLIS IN
46205-3408
US

IV. Provider business mailing address

101 E 34TH ST
INDIANAPOLIS IN
46205-3408
US

V. Phone/Fax

Practice location:
  • Phone: 317-924-4545
  • Fax: 317-927-2167
Mailing address:
  • Phone: 317-924-4545
  • Fax: 317-921-4024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBRA A CARTER-MILLER
Title or Position: PRES
Credential: MD
Phone: 317-924-4545