Organization
HORIZON HEALTH CARE INC
Active
Other names
Bison 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
105 W MAIN ST., BISON, SD 57620-0427
(605) 244-5206
(605) 244-5208
Mailing address
PO BOX 427, BISON, SD 57620-0427
(605) 244-5206
(605) 244-5208
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42509
MED B GROUP
—
05
—
5350300
—
SD
Enumeration date
02/28/2006
Last updated
02/09/2017
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