MEDICARE: MARGARET MARY COMMUNITY HOSPITAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	01035790	IN

General Provider Information

NPI Number	:	1467650655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET MARY COMMUNITY HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 236
Second Line	:
City	:	BATESVILLE
State	:	IN
Zip	:	47006-0236
Country	:	US
Telephone Number	:	812-933-5441
Fax Number	:	812-933-5446

Provider Business Practice Location Address
First Line	:	11137 US HIGHWAY 52 STE B
Second Line	:
City	:	BROOKVILLE
State	:	IN
Zip	:	47012-7901
Country	:	US
Telephone Number	:	765-647-3547
Fax Number	:	765-647-2170

Authorized Official
Title or Position	:	CFO
Name	:	BRIAN R DAEGER
Credential	:
Telephone Number	:	812-933-5135

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	01/03/2020

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