NPIMap

Organization Active NPI

Horizon Health Care Inc

Doing business as McIntosh Community Clinic

  • Federally Qualified Health Center (FQHC)
  • McIntosh, SD
National Provider Identifier
1609842665
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
McIntosh Community Clinic
Practice address
208 W Main Street
McIntosh, SD 57641-0195
Phone
(605) 273-4335
Fax
(605) 273-4360
NPI assigned
Feb 28, 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 NU Primary

Addresses

Primary practice location

208 W Main Street
McIntosh, SD 57641-0195

Mailing address

PO Box 195
MC Intosh, SD 57641-0195
Phone (605) 273-4335

Other identifiers 1

IdentifierTypeStateIssuer
5350260MedicaidSD

Other names 1

  • McIntosh Community Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

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…

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1609842665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "MC INTOSH",
            "state": "SD",
            "postal_code": "576410195",
            "telephone_number": "605-273-4335",
            "fax_number": "605-273-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W MAIN STREET",
            "city": "MCINTOSH",
            "state": "SD",
            "postal_code": "576410195",
            "telephone_number": "605-273-4335",
            "fax_number": "605-273-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McIntosh Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McIntosh, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.