Provider Demographics
NPI:1578672846
Name:HORIZON HEALTH CARE, INC
Entity Type:Organization
Organization Name:HORIZON HEALTH CARE, INC
Other - Org Name:MISSION COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENGENHAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-772-4525
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:SD
Mailing Address - Zip Code:57555-0049
Mailing Address - Country:US
Mailing Address - Phone:605-856-2295
Mailing Address - Fax:
Practice Address - Street 1:161 S MAIN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:SD
Practice Address - Zip Code:57555-0049
Practice Address - Country:US
Practice Address - Phone:605-856-2295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5350220Medicaid
SD431825Medicare Oscar/Certification
SD5350220Medicaid