NPIMap

Organization Active NPI

Horizon Health Care Inc

Doing business as Yankton Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yankton, SD
National Provider Identifier
1013445907
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HORIZON HEALTH CARE INC
Doing business as
Yankton Community Health Center
Practice address
920 Broadway Ave Ste 2
Yankton, SD 57078-3536
Phone
(605) 260-0310
NPI assigned
May 23, 2017
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Mengenhausen
Title
Ceo
Phone
(605) 772-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

920 Broadway Ave Ste 2
Yankton, SD 57078-3536

Mailing address

602 1St St NE Ste 1
Wessington Springs, SD 57382-2163
Phone (605) 539-9836

Other names 1

  • Yankton Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040315000974 SD Part B Supplier - Clinic/Group Practice 8921997933 Receives reassigned benefits from 96 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alcester, SD; Aberdeen, SD; Yankton, SD; Woonsocket, SD; White River, SD; Wessington Springs, SD; Ridgeview, SD; Plankinton, SD…
O20171031000419 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: Yankton, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013445907. Details of each certification follow.

Federally qualified health center certification: CCN 431851

Legal name
HORIZON HEALTH CARE INC
Doing business as
YANKTON COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 7, 2014
Last certification
May 7, 2014
Ownership / control type
For profit – corporation
Most recent change of ownership
Jun 1, 2017 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
920 Broadway Ave
Yankton, SD 57078-3536

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

506 S Wilson St
Aberdeen, SD 57401
Phone (605) 725-3900

302 S 1st Ave
Martin, SD 57551
Phone (605) 685-6868

301 4TH St
White River, SD 57579
Phone (605) 259-3121

309 E 4th St
White River, SD 57579
Phone (605) 259-3102

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jessica Lindskov Individual Corporate Director Jan 1, 2016
Samantha Plank Individual Corporate Director Jan 1, 2016
Dennis Nelsen Individual Corporate Director Jun 1, 2017
Echo Petersen Individual Corporate Director Jan 1, 2016
Rosemary K Jensen Individual W-2 Managing EmployeeInsurance Billing Administrator Oct 29, 1990
Wade Erickson Individual Corporate OfficerCeo Jul 1, 2021
Tristan L Gruenhagen Individual Corporate Director Jan 1, 2016
Brenda Schneider Individual Corporate Director Jan 1, 2016
Sandra Sexton-Welling Individual Corporate DirectorBoard Member Jan 1, 2021
David W Schmidt Individual Corporate Director Jan 1, 2016
Ryan Jensen Individual Corporate DirectorBoard Member Jan 1, 2020
Melissa Hofer Individual Corporate OfficerCfo Jul 1, 2021
Jerry a Miller Individual Corporate Director Jun 1, 2017

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Weskota Manor IncWessington Springs, SD, CCN 435133 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Apr 22, 2026
Faith Community Health CenterFaith, SD, CCN 431813 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
Isabel Community ClinicIsabel, SD, CCN 431803 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
Family Health Center of Eagle ButteEagle Butte, SD, CCN 431802 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
Bison ClinicBison, SD, CCN 431827 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
Tiospaye Topa SchoolLa Plant, SD, CCN 431848 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Horizon Health Care Inc

    dba Isabel Community Clinic

    • Federally Qualified Health Center (FQHC)
    • Isabel, SD
    • NPI 1205800075

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Horizon Health Care Inc

    dba Family Health Center of Eagle Butte

    • Federally Qualified Health Center (FQHC)
    • Eagle Butte, SD
    • NPI 1558335349

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Horizon Health Care Inc

    dba Bison Community Clinic

    • Federally Qualified Health Center (FQHC)
    • Bison, SD
    • NPI 1598731648

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Horizon Health Care Inc

    dba Tiospaye Topa School

    • School Nurse Practitioner
    • Ridgeview, SD
    • NPI 1861563348

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Horizon Health Care Inc

    dba Faith Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Faith, SD
    • NPI 1912972712

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Weskota Manor, Inc.
    • Nursing Facility/Intermediate Care Facility
    • Wessington Springs, SD
    • NPI 1811065618

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2017 Change of OwnershipThis provider was the buyer Allpoints Yankton ClinicCCN 431851, SD, NPI 1104255389

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1013445907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 1ST ST NE STE 1",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822163",
            "telephone_number": "605-539-9836",
            "fax_number": "605-539-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BROADWAY AVE STE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783536",
            "telephone_number": "605-260-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "MENGENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-772-4525"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yankton Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yankton, SD

Sources for this page

Verify at the official NPI Registry.