Organization
HORIZON HEALTH CARE, INC
Active
Other names
Mellette County Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MENGENHAUSEN (CEO)
(605) 772-4525
Entity
Organization
Contact information
Practice address
309 E 4TH ST, WHITE RIVER, SD 57579-0281
(605) 259-3121
Mailing address
PO BOX 281, WHITE RIVER, SD 57579-0281
(605) 259-3121
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5350230
—
SD
Enumeration date
08/30/2006
Last updated
02/09/2017
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