Healthcare Provider Details

I. General information

NPI: 1518937598
Provider Name (Legal Business Name): ORANGE CITY MUNICIPAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CENTRAL AVE NW
ORANGE CITY IA
51041-1342
US

IV. Provider business mailing address

1000 LINCOLN CIR SE
ORANGE CITY IA
51041-1862
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-5279
  • Fax:
Mailing address:
  • Phone: 712-737-5279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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