NPIMap

Organization Active NPI

Margaret Mary Community Hospital Inc

  • Rural Health Clinic/Center
  • Batesville, IN
National Provider Identifier
1205679552
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723001591 IN Part A Provider - Rural Health Clinic 5193714335 Practice locations: Batesville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205679552. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
26 Six Pine Ranch Rd
Batesville, IN 47006-1593
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).

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.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d93d980-a159-4c3e-9a19-131175682196/

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
Craig Edwin Gilliland Individual Corporate OfficerCfo Jun 24, 2024
Julie a Keene Individual Corporate DirectorVP of Physician Services Feb 21, 2000
W-2 Managing EmployeeVP of Physician Services Feb 21, 2000
Brian Daeger Individual Corporate OfficerCoo Jan 22, 1991
W-2 Managing EmployeeCoo Nov 1, 2012

All facility ownership & control disclosures 7

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
Osgood Primary CareOsgood, IN, CCN 158511 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1205679552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SIX PINE RANCH RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061399",
            "telephone_number": "812-934-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SIX PINE RANCH RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061399",
            "telephone_number": "812-934-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET MARY COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.