Provider Demographics
NPI:1316054935
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:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:SD
Mailing Address - Zip Code:57551-0550
Mailing Address - Country:US
Mailing Address - Phone:605-685-6868
Mailing Address - Fax:605-685-6943
Practice Address - Street 1:109 PUGH ST
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:SD
Practice Address - Zip Code:57551-7700
Practice Address - Country:US
Practice Address - Phone:605-685-6868
Practice Address - Fax:605-685-6943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5350250Medicaid
SD431823Medicare Oscar/Certification
SDS41690Medicare PIN