MEDICARE: HORIZON HEALTH CARE 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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1841728730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON HEALTH CARE INC

Provider Business Mailing Address
First Line	:	602 1ST ST NE STE 1
Second Line	:
City	:	WESSINGTON SPRINGS
State	:	SD
Zip	:	57382-2163
Country	:	US
Telephone Number	:	605-539-9836
Fax Number	:	605-539-1286

Provider Business Practice Location Address
First Line	:	204 E MAIN ST
Second Line	:
City	:	ELK POINT
State	:	SD
Zip	:	57025-2334
Country	:	US
Telephone Number	:	605-956-3317
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOHN MENGENHAUSEN
Credential	:
Telephone Number	:	605-772-4525

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	05/23/2017

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