Provider Demographics
NPI:1356676977
Name:HORIZONS HEALTH SERVICES
Entity Type:Organization
Organization Name:HORIZONS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:SANDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-768-4250
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-0350
Mailing Address - Country:US
Mailing Address - Phone:207-768-4250
Mailing Address - Fax:207-768-4252
Practice Address - Street 1:781 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2201
Practice Address - Country:US
Practice Address - Phone:207-762-3955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service