Margaret Mary Community Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Batesville, IN
NPI 1205679552 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1205679552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MARGARET MARY COMMUNITY HOSPITAL INC
- Practice address
- 26 Six Pine Ranch Rd
Batesville, IN 47006-1399 - Phone
- (812) 934-5252
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Brian Daeger
- Title
- Cfo
- Phone
- (812) 933-5135
Owned or controlled facilities with NPI records 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Practitioners 70
-
Ashley Acajabon, FNP-BC
-
Yasir M Ahamed, MD
-
Brian J Albers, M.D.
-
Cynthia Arlene Allen, FNP-C
-
Victoria Backscheider, FNP-C
-
Catherine A Bailey, FNP-C
-
Marcella Dawn Baumer, PA-C
-
Michelle M Biltz, M.D.
-
Melissa Ann Blanton, FNP-C
-
Gloria J Brelage, MD
-
Thomas M Brown, M.D.
-
Douglas A Bruns, DO
-
Trisha Candelot, FNP-C
-
James D Coots, MD
-
Odera D Echeazu, M.D.
-
Douglas Engle, MD
-
Jonathan T Feist, M.D.
-
Kelley Fitzpatrick, M.D.
-
Theresa M Fullenkamp, FNP
-
Jon F Geers, MD
-
Caprice Gilpin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Rural health clinic certification: CCN 158597
- Legal name
- MARGARET MARY COMMUNITY HOSPITAL INC
- Doing business as
- MARGARET MARY PHYSICIAN CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 19, 2024
- Last certification
- Dec 19, 2024
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 26 Six Pine Ranch Rd
Batesville, IN 47006-1593 - Related CCNs
- 151329
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Edwin Gilliland |
Corporate Officer |
Jun 24, 2024 | |
| Julie a Keene |
Corporate Director |
Feb 21, 2000 | |
| W-2 Managing Employee |
Feb 21, 2000 | ||
| Brian Daeger |
Corporate Officer |
Jan 22, 1991 | |
| W-2 Managing Employee |
Nov 1, 2012 |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Margaret Mary Health |
Hospital | 5% Or Greater Direct Ownership Interest (5%) | Jan 1, 2008 |
| Margaret Mary Health |
Hospital | 5% Or Greater Direct Ownership Interest (5%) | Jun 1, 2020 |
| Suburban Home Health, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (5.5%) | Sep 3, 2024 |
| Margaret Mary Health Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (5%) | Aug 11, 1995 |
| Suburban Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (5.5%) | Nov 1, 2024 |
| Osgood Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2012 |
| Margaret Mary Medical Arts Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (5%) | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240723001591 | IN | Part a Provider - Rural Health Clinic | 5193714335 | Practice locations: Batesville, IN |
National Provider Directory
- Tax ID family
- Osgood Primary Care
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d93d980-a159-4c3e-9a19-131175682196/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
26 Six Pine Ranch Rd
Batesville, IN 47006-1399
Mailing address
26 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 934-5252
Other providers in Batesville, IN
- Michael I Maggio
- Mainstreet Asset Management
- Major Hospital
- Rebecca Mallory
- Adam Maple
- Margaret Mary Community Hospital Inc
- Margaret Mary Community Hospital Inc
- Margaret Mary Community Hospital Inc
- Margaret Mary Community Hospital, Inc
- Margaret Mary Community Hospital, Inc.
All providers in Batesville, IN · Rural Health Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.