Healthcare Provider Details

I. General information

NPI: 1245513811
Provider Name (Legal Business Name): HORIZON HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 18TH ST SW STE 27
HURON SD
57350-3488
US

IV. Provider business mailing address

1000 18TH ST SW STE 27
HURON SD
57350-3488
US

V. Phone/Fax

Practice location:
  • Phone: 605-554-1015
  • Fax:
Mailing address:
  • Phone: 605-554-1015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JOHN MENGENHAUSEN
Title or Position: CEO
Credential:
Phone: 605-772-4525