NPIMap

Organization Active NPI

Horizon Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Faith, SD
National Provider Identifier
1760933246
Registry record updated Oct 19, 2016
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.
Practice address
112 N 2ND Ave. W
Faith, SD 57626-0577
Phone
(605) 967-2644
Fax
(605) 967-2844
NPI assigned
Oct 19, 2016
Organization subpart
Yes
Parent organization
HORIZON HEALTH CARE, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
John Mengenhausen
Title
Ceo
Phone
(605) 772-4514

National Provider Directory

National Provider Directory
Tax ID family
Bell Medical Services19 organizations share this tax ID, including this one
Part of
Bell Medical Services

Other organizations with this tax ID 18

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

View all 18

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

112 N 2ND Ave. W
Faith, SD 57626-0577

Mailing address

112 N 2ND Ave. W
PO Box 577
Faith, SD 57626-0577
Phone (605) 967-2644

Other names 1

NPPES NPI Registry
  • Faith Dental Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2016.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1760933246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 2ND AVE. W",
            "address_2": "PO BOX 577",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576260577",
            "telephone_number": "605-967-2644",
            "fax_number": "605-967-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 2ND AVE. W",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576260577",
            "telephone_number": "605-967-2644",
            "fax_number": "605-967-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON HEALTH CARE, INC.",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MENGENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-772-4514"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faith, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.