Provider Demographics
NPI:1558368449
Name:MARGARET MARY COMMUNITY HOSPITAL INC
Entity Type:Organization
Organization Name:MARGARET MARY COMMUNITY HOSPITAL INC
Other - Org Name:MARGARET MARY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-933-5135
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-0236
Mailing Address - Country:US
Mailing Address - Phone:812-933-5441
Mailing Address - Fax:812-933-5446
Practice Address - Street 1:321 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8909
Practice Address - Country:US
Practice Address - Phone:812-934-6624
Practice Address - Fax:812-934-5373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMMCH - 06-004718-1282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100268010AMedicaid
IN000000094432OtherANTHEM PROFESSIONAL SVCS
IN100268010AMedicaid
IN032088000OtherBLACK LUNG ACUTE CARE HOS
IN200049520AMedicaid
IN70PH03POtherSIHO PROFESSIONAL SVCS
IN032088000OtherBLACK LUNG PROF SVCS
IN000000098276OtherANTHEM ACUTE CARE HOSP
IN100268010AMedicaid
IN200049520AMedicaid
IN=========00OtherOBWC ACUTE CARE HOSP
IN100268010AMedicaid