Healthcare Provider Details
I. General information
NPI: 1528637188
Provider Name (Legal Business Name): BAUM HARMON MERCY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 N ENGDAHL AVE
OAKLAND NE
68045-1431
US
IV. Provider business mailing address
211 N ENGDAHL AVE
OAKLAND NE
68045-1431
US
V. Phone/Fax
- Phone: 402-685-5116
- Fax: 402-685-5817
- Phone: 402-685-5116
- Fax: 402-685-5817
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
M. ELIZABETH
FLANNERY-HUGHES
Title or Position: PRESIDENT
Credential:
Phone: 712-279-2018