Provider Demographics
NPI:1245757160
Name:ORANGE CITY MUNICIPAL HOSPITAL
Entity type:Organization
Organization Name:ORANGE CITY MUNICIPAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZEUTENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-737-5361
Mailing Address - Street 1:1000 LINCOLN CIR SE STE 300
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1814
Mailing Address - Country:US
Mailing Address - Phone:712-737-4984
Mailing Address - Fax:712-737-5291
Practice Address - Street 1:1000 LINCOLN CIR SE STE 300
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1814
Practice Address - Country:US
Practice Address - Phone:712-737-4984
Practice Address - Fax:712-737-5291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE CITY MUNICIPAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy