Healthcare Provider Details

I. General information

NPI: 1639398688
Provider Name (Legal Business Name): MARGARET MARY COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date: 02/04/2020
Reactivation Date: 02/26/2020

III. Provider practice location address

321 MITCHELL AVE
BATESVILLE IN
47006-8909
US

IV. Provider business mailing address

321 MITCHELL AVE PO BOX 226 HOMECARE
BATESVILLE IN
47006-8909
US

V. Phone/Fax

Practice location:
  • Phone: 812-933-5125
  • Fax: 812-933-5108
Mailing address:
  • Phone: 812-933-5125
  • Fax: 812-933-5108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN DAEGER
Title or Position: CFO
Credential:
Phone: 812-934-6624