Organization
MELLETTE COUNTY HEALTH CLINIC
Active
Other names
Horizon Health Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN SEYMOUR P.A. (PHYSICIAN ASSISTANT)
(605) 259-3121
Entity
Organization
Contact information
Practice address
FIRST AND ROOSEVELT, WHITE RIVER, SD 57579-0281
(605) 259-3121
(605) 259-3444
Mailing address
PO BOX 281, WHITE RIVER, SD 57579-0281
(605) 259-3121
(605) 259-3444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
0004
SD
261QC1500X
Community Health Clinic/Center
Primary
0004
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350230
—
SD
Enumeration date
05/30/2006
Last updated
01/29/2008
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