NPIMap

Organization Active NPI

Orange City Municipal Hospital

  • Family Medicine Physician
  • Orange City, IA
National Provider Identifier
1962477992
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ORANGE CITY MUNICIPAL HOSPITAL
Practice address
1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1864
Phone
(712) 737-2000
Fax
(712) 737-2115
NPI assigned
Feb 22, 2006
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
Mr. Martin W Guthmiller
Title
Ceo
Phone
(712) 737-5274

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1864

Mailing address

1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1862
Phone (712) 737-2000

Other practice location 1

719 8th St SE
Orange City, IA 51041-7451
Phone (712) 707-6070

Other practice location 2

102 3rd Ave S
Hospers, IA 51238-7755
Phone (712) 752-8800

Other identifiers 2

IdentifierTypeStateIssuer
24914OtherIABLUE CROSS/BLUE SHIEL
0249144MedicaidIA

Other names 2

  • Orange City Area Health System Doing business as
  • Orange City Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031223000417 IA Part B Supplier - Clinic/Group Practice 4688587231 Receives reassigned benefits from 59 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hawarden, IA; Sioux Center, IA; Remsen, IA; Paullina, IA; Orange City, IA; Lemars, IA; Hull, IA; Hospers, IA
O20040528001161 IA Part A Provider - Critical Access Hospital 4688587231 Receives reassigned benefits from 46 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orange City, IA

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 on the same Medicare enrollment 3

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
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

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
16D0385137Orange City Medical Clinic1000 Lincoln Circle SE, Orange City, IA 51041Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1962477992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411864",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 8th St SE",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "IA",
            "postal_code": "510417451",
            "country_code": "US",
            "telephone_number": "712-707-6070",
            "fax_number": "712-707-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 3rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Hospers",
            "state": "IA",
            "postal_code": "512387755",
            "country_code": "US",
            "telephone_number": "712-752-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORANGE CITY MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "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": "712-737-5274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIEL",
            "identifier": "24914",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249144",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange City Area Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange City Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange City Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.