Provider Demographics
NPI:1831207844
Name:HORIZON HEALTH CARE INC
Entity type:Organization
Organization Name:HORIZON HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:602 1ST ST NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESSINGTON SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57382-2167
Mailing Address - Country:US
Mailing Address - Phone:605-539-1778
Mailing Address - Fax:605-539-9546
Practice Address - Street 1:602 1ST ST NE
Practice Address - Street 2:SUITE 1
Practice Address - City:WESSINGTON SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57382-2167
Practice Address - Country:US
Practice Address - Phone:605-539-1778
Practice Address - Fax:605-539-9546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5350102Medicaid
SD5350102Medicaid
SD431806Medicare Oscar/Certification