Organization Active NPI

Baum Harmon Mercy Hospital

Doing business as MercyOne Paullina Family Medicine

  • Rural Health Clinic/Center
  • Paullina, IA
National Provider Identifier
1306880968
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BAUM HARMON MERCY HOSPITAL
Doing business as
MercyOne Paullina Family Medicine
Paullina Mercy Medical Clinic
Practice address
108 East Groesbeck
Paullina, IA 51046
Phone
(712) 949-2126
Fax
(712) 949-2129
NPI assigned
Jun 15, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Schierholz
Title
Board President
Phone
(712) 363-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

108 East Groesbeck
Paullina, IA 51046

Mailing address

PO Box 429
Paulina, IA 51046-7748
Phone (712) 949-2126

Other identifiers 1

IdentifierTypeStateIssuer
0634964MedicaidIA

Other names 2

  • MercyOne Paullina Family Medicine Doing business as
  • Paullina Mercy Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1306880968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "PAULINA",
            "state": "IA",
            "postal_code": "510467748",
            "telephone_number": "712-949-2126",
            "fax_number": "712-949-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EAST GROESBECK",
            "city": "PAULLINA",
            "state": "IA",
            "postal_code": "51046",
            "telephone_number": "712-949-2126",
            "fax_number": "712-949-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUM HARMON MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHIERHOLZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "712-363-1075"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634964",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Paullina Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paullina Mercy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paullina, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.