NPIMap

Organization Active NPI

Orange City Municipal Hospital

Doing business as Orange City Area Health System

  • Critical Access Hospital
  • Orange City, IA
National Provider Identifier
1700856796
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
840071H Issued in IA
Legal business name
ORANGE CITY MUNICIPAL HOSPITAL
Doing business as
Orange City Area Health System
Practice address
1000 Lincoln Cir SE
Orange City, IA 51041-1862
Phone
(712) 737-4984
NPI assigned
Jan 24, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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
Critical Access Hospital 282NC0060X 840071H IA Primary

Addresses

Primary practice location

1000 Lincoln Cir SE
Orange City, IA 51041-1862

Mailing address

1000 Lincoln Cir SE
Orange City, IA 51041-1862

Other identifiers 1

IdentifierTypeStateIssuer
0600742MedicaidIA

Other names 1

  • Orange City Area Health System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528001161 IA Part A Provider - Critical Access Hospital 4688587231 Receives reassigned benefits from 46 practitioners
2 other NPIs on this enrollment
Practice locations: Orange City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700856796. Details of each certification follow.

Hospital certification: CCN 161360

Legal name
ORANGE CITY MUNICIPAL HOSPITAL
Doing business as
ORANGE CITY AREA HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Jun 24, 2021
Beds
25
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
1000 Lincoln Cir SE
Orange City, IA 51041-1862

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Orange City Area Health SystemCCN 161360 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
David L Van Gorp MD13 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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Gerald Henrich Individual Corporate Director Jan 1, 2010
Wade Hofland Individual Corporate Director Oct 2, 2020
Timothy J Zeutenhorst Individual Corporate Director Jun 16, 2004
City of Orange City Organization, Orange City, IA 5% Or Greater Direct Ownership Interest Dec 20, 2007 100%
Martin W. Guthmiller Individual Contracted Managing Employee Jan 1, 2006
Corporate Director Oct 2, 2020
Brenda R. Herda Individual Corporate Director Sep 16, 2009
Chris Immeker Individual Corporate Director Jan 1, 2013
Russ Mark Adams Individual Corporate Director Dec 30, 2005
Kathy Alons Individual Corporate Director Jan 1, 2016

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Prairie Ridge Care CenterOrange City, IA, CCN 165538 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Mar 1, 2004
Dec 18, 2024
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 4

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 48

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 48

Affiliated clinicians 159

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

View all 159

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": "1675728000000",
    "number": "1700856796",
    "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": "1000 LINCOLN CIR SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CITY MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "840071H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600742",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange City Area Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange City Area Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.