Organization
HORIZON HEALTH CARE INC
Active
Other names
McIntosh 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
208 W MAIN STREET, MCINTOSH, SD 57641-0195
(605) 273-4335
(605) 273-4360
Mailing address
PO BOX 195, MC INTOSH, SD 57641-0195
(605) 273-4335
(605) 273-4360
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350260
—
SD
Enumeration date
02/28/2006
Last updated
02/06/2017
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