Basic Information
Provider Information
NPI: 1548844434
EntityType: 2
ReplacementNPI:  
OrganizationName: MARGARET MARY COMMUNITY HOSPITAL, INC.
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 236
Address2:  
City: BATESVILLE
State: IN
PostalCode: 470060236
CountryCode: US
TelephoneNumber: 8129335441
FaxNumber:  
Practice Location
Address1: 188 STATE ROAD 129 S
Address2:  
City: BATESVILLE
State: IN
PostalCode: 470067628
CountryCode: US
TelephoneNumber: 8129346400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2021
LastUpdateDate: 05/07/2021
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: DAEGER
AuthorizedOfficialFirstName: BRIAN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: COO
AuthorizedOfficialTelephone: 8129335135
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QR1300X  Y Ambulatory Health Care FacilitiesClinic/CenterRural Health

No ID Information.


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