Provider Demographics
NPI:1831318880
Name:MARGARET MARY COMMUNITY HOSPITAL INC
Entity Type:Organization
Organization Name:MARGARET MARY COMMUNITY HOSPITAL INC
Other - Org Name:
Other - Org Type:
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?:Yes
Parent Organization LBN:MARGARET MARY COMMUNITY HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-25
Last Update Date:2020-02-26
Deactivation Date:2020-02-04
Deactivation Code:
Reactivation Date:2020-02-26
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100264100AMedicaid
IN000000098275OtherANTHEM HOMECARE
IN100264100AMedicaid