MEDICARE: HORIZONS MENTAL HEALTH CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346707247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS MENTAL HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	1600 N LORRAINE ST STE 202
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-5600
Country	:	US
Telephone Number	:	620-663-7595
Fax Number	:

Provider Business Practice Location Address
First Line	:	6919 N LAKE RD
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67502-9108
Country	:	US
Telephone Number	:	620-669-7465
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MEKINZIE L HUDSON
Credential	:
Telephone Number	:	620-694-1076

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	02/27/2019

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