Healthcare Provider Details

I. General information

NPI: 1972967131
Provider Name (Legal Business Name): HORIZON HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S MAIN ST
PLANKINTON SD
57368-2264
US

IV. Provider business mailing address

106 S MAIN ST PO BOX 250
PLANKINTON SD
57368-2264
US

V. Phone/Fax

Practice location:
  • Phone: 605-539-1381
  • Fax: 605-539-1190
Mailing address:
  • Phone: 605-539-1381
  • Fax: 605-539-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: TERESA MAIER
Title or Position: OFFICE MANAGER
Credential:
Phone: 605-772-4703