Organization
HORIZON HEALTH CARE INC
Active
Other names
Family Health Center of Eagle Butte
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MENGENHAUSEN (CHIEF EXECUTIVE OFFICER)
(605) 772-4525
Entity
Organization
Contact information
Practice address
8000 E HWY 212, EAGLE BUTTE, SD 57625-0860
(605) 964-8000
(605) 964-1118
Mailing address
PO BOX 860, 8000 E HWY 212, EAGLE BUTTE, SD 57625-0860
(605) 964-8000
(605) 964-1118
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350050
—
SD
Enumeration date
02/16/2006
Last updated
02/06/2017
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