Provider Demographics
NPI:1710720073
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:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-933-5135
Mailing Address - Street 1:11137 US 52
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47012-7901
Mailing Address - Country:US
Mailing Address - Phone:765-647-5126
Mailing Address - Fax:
Practice Address - Street 1:11137 US 52
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-7901
Practice Address - Country:US
Practice Address - Phone:765-647-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health