=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316118730
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARGARET MARY COMMUNITY HOSPITAL, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2008
-----------------------------------------------------
Last Update Date | 12/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 MITCHELL AVE
-----------------------------------------------------
City | BATESVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47006-8909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-934-6624
-----------------------------------------------------
Fax | 812-934-5373
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 236
-----------------------------------------------------
City | BATESVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47006-0236
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-933-5441
-----------------------------------------------------
Fax | 812-933-5446
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MR. BRIAN DAEGER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 812-933-5135
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------