Healthcare Provider Details

I. General information

NPI: 1821038514
Provider Name (Legal Business Name): HORIZON HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 SOUTH MAIN STREET
HOWARD SD
57349
US

IV. Provider business mailing address

PO BOX 99
HOWARD SD
57349-0099
US

V. Phone/Fax

Practice location:
  • Phone: 605-772-4574
  • Fax:
Mailing address:
  • Phone: 605-772-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOHN MENGENHAUSEN
Title or Position: CEO
Credential:
Phone: 605-772-4574