HORIZON HEALTH CARE INC NPI 1205800075

NPI Information

NPI: 1205800075
Provider Name: HORIZON HEALTH CARE INC

Doing Business As: ISABEL COMMUNITY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
118 N MAIN STREET
ISABEL, SD
ZIP 57633
Phone: (605) 466-2120
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HORIZON HEALTH CARE INC is a federally qualified health center (fqhc) clinic center in Isabel, SD. HORIZON HEALTH CARE INC NPI is 1205800075. The provider is registered as an organization entity type.
The provider Is Doing Business As Isabel Community Clinic.

The provider's business location address is:

118 N MAIN STREET
ISABEL, SD
ZIP 57633-097
Phone: (605) 466-2120
Fax: (605) 466-2190

The provider's authorized official is John Mengenhausen .
The authorized official title is Authorized Official Ceo and has the following contact phone number (605) 772-4525.

The CLIA number assigned to this NPI record is 43D0658956 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5350090	MEDICAID	SOUTH DAKOTA
2	77913	OTHER		MED B GROUP
3	431803	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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