Organization
HORIZON HEALTH CARE INC
Active
Other names
Isabel Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MENGENHAUSEN CEO (AUTHORIZED OFFICIAL CEO)
(605) 772-4525
Entity
Organization
Contact information
Practice address
118 N MAIN STREET, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190
Mailing address
PO BOX 97, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350090
—
SD
01
—
77913
MED B GROUP
—
Enumeration date
02/16/2006
Last updated
02/06/2017
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