MEDICARE: ORANGE CITY MUNICIPAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467422725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE CITY MUNICIPAL HOSPITAL

Provider Business Mailing Address
First Line	:	1000 LINCOLN CIR SE
Second Line	:
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-1862
Country	:	US
Telephone Number	:	712-737-4984
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 CENTRAL AVE NW
Second Line	:	LONG TERM CARE
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-1342
Country	:	US
Telephone Number	:	712-737-4984
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARTIN W GUTHMILLER
Credential	:
Telephone Number	:	712-737-4984

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/22/2020

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