Organization
HORIZON HEALTH CARE INC
Active
Other names
Faith Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MENGENHAUSEN CEO (AUTHORIZED OFFICIAL CEO)
(605) 772-4525
Entity
Organization
Contact information
Practice address
112 N 2ND AVE W, FAITH, SD 57626-0577
(605) 967-2644
(605) 967-2844
Mailing address
PO BOX 577, FAITH, SD 57626-0577
(605) 967-2644
(605) 967-2844
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40374
PART B GROUP #
—
05
—
5350130
—
SD
Enumeration date
02/23/2006
Last updated
02/06/2017
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