mercyprimgharpay.org Open in urlscan Pro
162.214.102.90  Public Scan

Submitted URL: https://www.baumharmonpayment.org/
Effective URL: https://mercyprimgharpay.org/
Submission: On September 22 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://www.baumharmonpayment.org/sim.php

<form action="https://www.baumharmonpayment.org/sim.php" method="post">
  <table border="0" width="200" cellpadding="5">
    <tbody>
      <tr>
        <td>Account Number:</td>
        <td><input name="invoice" type="text"></td>
      </tr>
      <tr>
        <td>Payment Amount:</td>
        <td><input name="myamount" type="text"></td>
      </tr>
      <tr>
        <td><img decoding="async" src="images/spacer.gif" width="125" height="5"></td>
        <td><input style="width: 130px;" type="Submit" value="Next"></td>
      </tr>
    </tbody>
  </table>
  <p>&nbsp;</p>
</form>

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Mercy One Primghar
Payment Center
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PAYMENT CENTER

Welcome to the Payment Center for MercyOne Primghar Medical Center.

Please enter the amount you wish to pay today.

Account Number: Payment Amount:

 

Location
255 N Welch Ave
Primghar, Iowa 51245
Phone
712-957-2300
© 2024 - 2024 MercyOne Primghar Medical Center

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