Provider Demographics
NPI:1639398688
Name:MARGARET MARY COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:MARGARET MARY COMMUNITY HOSPITAL, INC.
Other - Org Name:MARGARET MARY HEALTH HOSPICE
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:812-934-6624
Mailing Address - Street 1:321 MITCHELL AVE
Mailing Address - Street 2:PO BOX 226 HOMECARE
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-8909
Mailing Address - Country:US
Mailing Address - Phone:812-933-5125
Mailing Address - Fax:812-933-5108
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:812-933-5125
Practice Address - Fax:812-933-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2022-11-03
Deactivation Date:2020-02-04
Deactivation Code:
Reactivation Date:2020-02-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200142650AMedicaid
IN200142650AMedicaid
IN151551Medicare Oscar/Certification