1326331695 NPI number — BAUM HARMON MERCY HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326331695 NPI number — BAUM HARMON MERCY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAUM HARMON MERCY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326331695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 528
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRIMGHAR
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51245-0528
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-957-2300
Provider Business Mailing Address Fax Number:
712-957-0300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
255 N WELCH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRIMGHAR
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51245-7765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-957-2300
Provider Business Practice Location Address Fax Number:
712-957-0300
Provider Enumeration Date:
05/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MCCAULEY
Authorized Official First Name:
SUE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR OF FINANCE712957
Authorized Official Telephone Number:
712-957-2300

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com