Healthcare Provider Details

I. General information

NPI: 1003886367
Provider Name (Legal Business Name): ORANGE CITY MUNICIPAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LINCOLN CIR SE
ORANGE CITY IA
51041-1862
US

IV. Provider business mailing address

1000 LINCOLN CIR SE
ORANGE CITY IA
51041-1862
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-4984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTIN W GUTHMILLER
Title or Position: CEO
Credential:
Phone: 712-737-4984