# BAUM HARMON MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baum Harmon Mercy Hospital ER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760426431
- **Authorized official:** ANGIE SHILLING (COO/CEO)
- **Authorized official phone:** (712) 957-2300

## Contact information

- **Practice address:** 255 NORTH WELCH AVE, PRIMGHAR, IA 51245
- **Practice address phone:** (712) 957-2300
- **Practice address fax:** (712) 957-0300
- **Mailing address:** 621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
- **Mailing address phone:** (641) 428-3041
- **Mailing address fax:** (641) 428-3059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 12/30/2016