NPIMap

Organization Active NPI

Orange City Municipal Hospital

Doing business as Prairie Ridge Care Center

  • Skilled Nursing Facility
  • Orange City, IA
National Provider Identifier
1013987007
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ORANGE CITY MUNICIPAL HOSPITAL
Doing business as
Prairie Ridge Care Center
Practice address
1005 7TH St NE
Orange City, IA 51041-1183
Phone
(712) 707-6000
NPI assigned
Jan 24, 2006
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Martin W Guthmiller
Title
Ceo
Phone
(712) 737-4984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IA Primary

Addresses

Primary practice location

1005 7TH St NE
Orange City, IA 51041-1183

Mailing address

1000 Lincoln Cir SE
Orange City, IA 51041-1862

Other identifiers 1

IdentifierTypeStateIssuer
0809053MedicaidIA

Other names 1

  • Prairie Ridge Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000387 IA Part A Provider - Skilled Nursing Facility 4688587231 Practice locations: Orange City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013987007. Details of each certification follow.

Skilled nursing facility certification: CCN 165538

Legal name
ORANGE CITY MUNICIPAL HOSPITAL
Doing business as
PRAIRIE RIDGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 2004
Last certification
Apr 24, 2025
Beds
95
Ownership / control type
City/County
Organization structure
GovernmentNon-profit
Enrollment address
1005 7TH St NE
Orange City, IA 51041-1183
Nursing home name
PRAIRIE RIDGE CARE CENTER

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Prairie Ridge Care CenterCCN 165538 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Mar 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9580.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0385136Prairie Ridge Care Center1005 7TH Street NE, Orange City, IA 51041Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Northwest Otolaryngolog13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Lincoln Cir SE
Ste 200
Orange City, IA 51041
Phone (712) 737-5317

1005 7th St NE
Orange City, IA 51041
Phone (712) 707-6000

322 Central Ave NW
Orange City, IA 51041
Phone (712) 737-4817

400 Central Ave NW
Ste 200
Orange City, IA 51041
Phone (712) 737-5279

402 Central Ave NW
Orange City, IA 51041
Phone (712) 737-2000

719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070

909 Lincoln Cir SE
Ste 1
Orange City, IA 51041
Phone (712) 737-5279

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wade Hofland Individual Corporate DirectorBoard Member May 1, 2020
Dale Pluim Individual Corporate Director Jan 1, 2022
Timothy J Zeutenhorst Individual Corporate Director Dec 22, 2003
Harrison H Hanson Individual Operational/Managerial Control Jan 2, 2023
Adp of the SNF Mar 13, 2025
Martin W. Guthmiller Individual Operational/Managerial Control Mar 24, 1994
Adp of the SNF Mar 24, 1994
Orange City Municipal Hospital Organization, Orange City, IA 5% Or Greater Direct Ownership Interest Mar 1, 2004 100%
Adp of the SNF Dec 18, 2024
Chris Immeker Individual Corporate Director Jan 1, 2013
Russ Mark Adams Individual Corporate Director Jan 1, 2006
Robert Gotto Individual Operational/Managerial Control Dec 10, 2024
Adp of the SNF Dec 18, 2024
Kathy Alons Individual Corporate Director Jan 1, 2016
Amy Jungers Individual Corporate Director Apr 1, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Orange City Home HealthOrange City, IA, CCN 167243 Home health agency Operational/Managerial Control May 1, 2006
Orange City Home Health & HospiceOrange City, IA, CCN 161577 Hospice Operational/Managerial Control Nov 1, 2005
Mill Creek Family PracticePaullina, IA, CCN 163462 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1996

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1013987007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 7TH ST NE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411183",
            "telephone_number": "712-707-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CITY MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "GUTHMILLER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-737-4984"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809053",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Ridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Ridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.