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General NPI Number Information
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NPI Number | 1306880570
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Entity Type | Organization
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Legal Business Name | BAUM HARMON MERCY HOSPITAL
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 240 NORTH RERICK AVE
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City | PRIMGHAR
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State | IA
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Zip | 51245
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Country | US
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Telephone | 712-957-2310
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Fax | 712-957-0504
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Provider Business Mailing Address
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Address Line | PO BOX 477
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City | PRIMGHAR
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State | IA
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Zip | 51245-7786
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Country | US
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Telephone | 712-957-2310
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Fax | 712-957-2300
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | ANDREW SCHIERHOLZ
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Credential |
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Telephone | 712-363-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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