Organization
ORANGE CITY MUNICIPAL HOSPITAL
Active
Other names
MillCreek Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN W GUTHMILLER (CEO)
(712) 737-5274
Entity
Organization
Contact information
Practice address
5616 460TH ST, PAULLINA, IA 51046-7516
(712) 448-2000
(712) 448-2004
Mailing address
5616 460TH ST, PO BOX 360, PAULLINA, IA 51046-7516
(712) 448-2000
(712) 448-2004
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634626
—
IA
01
—
63462
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
02/21/2006
Last updated
02/09/2023
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