NPIMap

Organization Active NPI

Margaret Mary Community Hospital, Inc.

Doing business as Osgood Primary Care

  • Rural Health Clinic/Center
  • Osgood, IN
National Provider Identifier
1083959472
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARGARET MARY COMMUNITY HOSPITAL, INC.
Doing business as
Osgood Primary Care
Practice address
112 N Buckeye St
Osgood, IN 47037-1134
Phone
(812) 689-3424
Fax
(812) 689-1157
NPI assigned
Dec 11, 2012
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Daeger
Title
Cfo
Phone
(812) 933-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X IN Primary

Addresses

Primary practice location

112 N Buckeye St
Osgood, IN 47037-1134

Mailing address

PO Box 236
Batesville, IN 47006-0236
Phone (812) 933-5441

Other names 2

  • Osgood Primary Care Doing business as
  • Margaret Mary Physician Partners Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121113000739 IN Part A Provider - Rural Health Clinic 5193714335 Practice locations: Osgood, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083959472. Details of each certification follow.

Rural health clinic certification: CCN 158511

Legal name
MARGARET MARY COMMUNITY HOSPITAL INC
Doing business as
OSGOOD PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 3, 2013
Last certification
Sep 17, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
112 N Buckeye STR
Osgood, IN 47037-1134
Related CCNs
151329

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0950895Osgood Primary Care112 N Buckeye St, Osgood, IN 47037Provider-performed microscopySep 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Margaret Mary Community Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie a Keene Individual Corporate DirectorVP of Physician Services Feb 21, 2000
W-2 Managing EmployeeVP of Physician Services Feb 21, 2000
Margaret Mary Community Hospital Inc Organization, Batesville, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2012 100%
Brian Daeger Individual Corporate OfficerCfo Jan 22, 1991
W-2 Managing EmployeeCfo Jan 22, 1991

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Margaret Mary HealthBatesville, IN, CCN 151329 Hospital 5% Or Greater Direct Ownership Interest (5%) Jan 1, 2008
Margaret Mary HealthBatesville, IN, CCN 15Z329 Hospital 5% Or Greater Direct Ownership Interest (5%) Jun 1, 2020
Suburban Home Health, LLCNoblesville, IN, CCN 157092 Home health agency 5% Or Greater Indirect Ownership Interest (5.5%) Sep 3, 2024
Margaret Mary Health HospiceBatesville, IN, CCN 151551 Hospice 5% Or Greater Direct Ownership Interest (5%) Aug 11, 1995
Suburban HospiceNoblesville, IN, CCN 151547 Hospice 5% Or Greater Indirect Ownership Interest (5.5%) Nov 1, 2024
Margaret Mary Medical Arts CenterBatesville, IN, CCN 158567 Rural health clinic 5% Or Greater Direct Ownership Interest (5%) Jan 1, 2022

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1083959472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236",
            "telephone_number": "812-933-5441",
            "fax_number": "812-933-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BUCKEYE ST",
            "city": "OSGOOD",
            "state": "IN",
            "postal_code": "470371134",
            "telephone_number": "812-689-3424",
            "fax_number": "812-689-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET MARY COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "DAEGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-933-5135"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osgood Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Margaret Mary Physician Partners",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Osgood, IN

Sources for this page

Verify at the official NPI Registry.