NPIMap

Organization Active NPI

Horizon Health Care Inc

Doing business as Isabel Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Isabel, SD
National Provider Identifier
1205800075
Registry record updated Feb 6, 2017
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
Isabel Community Clinic
Practice address
118 N Main Street
Isabel, SD 57633-0097
Phone
(605) 466-2120
Fax
(605) 466-2190
NPI assigned
Feb 16, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
John Mengenhausen, CEO
Title
Authorized Official Ceo
Phone
(605) 772-4525

Specialties & licenses 1

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

Addresses

Primary practice location

118 N Main Street
Isabel, SD 57633-0097

Mailing address

PO Box 97
Isabel, SD 57633-0097
Phone (605) 466-2120

Other identifiers 2

IdentifierTypeStateIssuer
5350090MedicaidSD
77913OtherMED B GROUP

Other names 1

  • Isabel Community Clinic 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…
O20160209002136 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: Isabel, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205800075. Details of each certification follow.

Federally qualified health center certification: CCN 431803

Legal name
HORIZON HEALTH CARE INC
Doing business as
ISABEL COMMUNITY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1992
Last certification
Jan 1, 1992
Ownership / control type
For profit – partnership
Most recent change of ownership
Jan 1, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
118 N Main
Isabel, SD 57633-0097

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
Tax ID family
Horizon Health Care19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 15

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 DirectorBoard Member Jan 1, 2019
Samantha Plank Individual Corporate DirectorBoard Member Jul 25, 2012
Steve Heisel Individual Corporate DirectorBoard Member Dec 1, 2022
Dennis Nelsen Individual Corporate DirectorBoard Member Jan 1, 2020
Echo Petersen Individual Corporate DirectorBoard Member Nov 14, 2011
Rhea Lecompte Individual Corporate DirectorBoard Member Dec 1, 2022
Rosemary K Jensen Individual W-2 Managing EmployeeInsurance Billing Administrator Jan 1, 2016
Wade Erickson Individual Corporate OfficerCeo Jul 1, 2021
Tristan L Gruenhagen Individual Corporate DirectorBoard Member Nov 14, 2011
Brenda Schneider Individual Corporate DirectorBoard Member Jan 1, 2021
David W Schmidt Individual Corporate DirectorBoard Member Jul 28, 2008
Ryan Jensen Individual Corporate DirectorBoard Member Jan 1, 2020
Melissa Hofer Individual Corporate OfficerCfo Jul 1, 2021
Horizon Health Care Inc Organization, Howard, SD Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Jerry a Miller Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Horizon Health Care Inc

    dba Yankton Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Yankton, SD
    • NPI 1013445907

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

    CMS ownership
  • Horizon Health Care Inc

    dba Woonsocket Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Woonsocket, SD
    • NPI 1033227053

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

    CMS ownership
  • Horizon Health Care Inc

    dba Aberdeen Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Aberdeen, SD
    • NPI 1104248475

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

    CMS ownership
  • Horizon Health Care Inc

    dba Howard Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Howard, SD
    • NPI 1114033164

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

    CMS ownership
  • Horizon Health Care Inc

    dba Fort Thompson Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Fort Thompson, SD
    • NPI 1225411945

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

    CMS ownership
  • Horizon Health Care Inc

    dba James Valley Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Huron, SD
    • NPI 1245513811

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

    CMS ownership
  • Horizon Health Care Inc

    dba Aurora County Clinic

    • Federally Qualified Health Center (FQHC)
    • Plankinton, SD
    • NPI 1356459382

    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 Alcester Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Alcester, SD
    • NPI 1598293482

    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 Jerauld County Clinic

    • Federally Qualified Health Center (FQHC)
    • Wessington Springs, SD
    • NPI 1831207844

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

    CMS ownership
  • Horizon Health Care Inc

    dba DeSmet Community Health Center

    • Federally Qualified Health Center (FQHC)
    • De Smet, SD
    • NPI 1831208883

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

    CMS ownership
View all 18

All facility ownership & control disclosures 5

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
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 5

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

  • 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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2016 Acquisition/MergerThis provider was the buyer Isabel Community ClinicCCN 431803, SD, NPI 1205800075
Jan 1, 2016 Acquisition/MergerThis provider was the seller Isabel Community ClinicCCN 431803, SD, NPI 1205800075

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1205800075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "576330097",
            "telephone_number": "605-466-2120",
            "fax_number": "605-466-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN STREET",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "576330097",
            "telephone_number": "605-466-2120",
            "fax_number": "605-466-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "MENGENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL CEO",
        "authorized_official_telephone_number": "605-772-4525",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350090",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED B GROUP",
            "identifier": "77913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isabel Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isabel, SD

Sources for this page

Verify at the official NPI Registry.