Healthcare Provider Details

I. General information

NPI: 1063717312
Provider Name (Legal Business Name): HORIZON HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 8TH STREET
SPRINGFIELD SD
57062
US

IV. Provider business mailing address

806 8TH STREET
SPRINGFIELD SD
57062
US

V. Phone/Fax

Practice location:
  • Phone: 605-369-2627
  • Fax: 605-369-5627
Mailing address:
  • Phone: 605-369-2627
  • Fax: 605-369-5627

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: CEO
Phone: 605-772-4525