NPIMap

Organization Active NPI

Orange City Municipal Hospital

  • Community Based Hospice Care Agency
  • Orange City, IA
National Provider Identifier
1992765119
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ORANGE CITY MUNICIPAL HOSPITAL
Practice address
400 Central Ave NW
Orange City, IA 51041-1342
Phone
(712) 737-5279
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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) 737-4984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IA Primary

Addresses

Primary practice location

400 Central Ave NW
Orange City, IA 51041-1342

Mailing address

1000 Lincoln Cir SE
Orange City, IA 51041-1862
Phone (712) 737-5279

Other identifiers 1

IdentifierTypeStateIssuer
0615823MedicaidIA

Other names 1

  • Orange City Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000249 IA Part A Provider - Hospice 4688587231 Practice locations: Orange City, IA

Hospice certification: CCN 161577

Legal name
ORANGE CITY MUNICIPAL HOSPITAL
Doing business as
ORANGE CITY HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 1, 2006
Last certification
May 12, 2022
Ownership / control type
Combination Government and Nonprofit
Organization structure
OtherNon-profit
Enrollment address
400 Central Ave NW
Orange City, IA 51041-1342

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: Hospice

Medicare Care Compare
Listed as
Orange City HospiceCCN 161577
Ownership
Combination Government & Non-Profit
Certified
Feb 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ekg Physicians Group13 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 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 Director Oct 2, 2020
Dale Pluim Individual Corporate Director Apr 1, 2024
Timothy J Zeutenhorst Individual Corporate Director Oct 19, 2005
Martin W. Guthmiller Individual Corporate Director Nov 17, 2005
Korrie Lee Ewoldt Individual Operational/Managerial Control Dec 1, 2024
Orange City Municipal Hospital Organization, Orange City, IA Operational/Managerial Control Nov 1, 2005
Chris Immeker Individual Corporate Director Jan 1, 2013
Russ Mark Adams Individual Corporate Director Mar 30, 2006
James Clemens Individual W-2 Managing EmployeeMD; Apr 1, 2024
Kathy Alons Individual Corporate Director Apr 1, 2024
Amy Jungers Individual Corporate Director Jan 2, 2023

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
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
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 43

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

View all 43

Affiliated clinicians 9

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": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1992765119",
    "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",
            "telephone_number": "712-737-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411342",
            "telephone_number": "712-737-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CITY MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615823",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange City Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange City Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.