Provider Demographics
NPI:1518901107
Name:BAUM HARMON MERCY HOSPITAL
Entity Type:Organization
Organization Name:BAUM HARMON MERCY HOSPITAL
Other - Org Name:MERCYONE HARTLEY FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIERHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-363-1075
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:HARTLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51346-1005
Mailing Address - Country:US
Mailing Address - Phone:712-928-2820
Mailing Address - Fax:712-928-3320
Practice Address - Street 1:231 N. 8TH AVE W.
Practice Address - Street 2:
Practice Address - City:HARTLEY
Practice Address - State:IA
Practice Address - Zip Code:51346-1005
Practice Address - Country:US
Practice Address - Phone:712-928-2820
Practice Address - Fax:712-928-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0634956Medicaid
IA17142Medicare PIN
IA0634956Medicaid