Organization Active NPI

Horizon Health Care Inc

Doing business as Jerauld County Clinic

  • Federally Qualified Health Center (FQHC)
  • Wessington Springs, SD
National Provider Identifier
1831207844
Registry record updated Oct 11, 2007
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
Jerauld County Clinic
Practice address
602 1St St NE
Suite 1
Wessington Springs, SD 57382-2167
Phone
(605) 539-1778
Fax
(605) 539-9546
NPI assigned
Aug 29, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2167

Mailing address

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2167
Phone (605) 539-1778

Other identifiers 1

IdentifierTypeStateIssuer
5350102MedicaidSD

Other names 1

  • Jerauld County 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…
O20080826000621 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: Wessington Springs, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831207844. Details of each certification follow.

Federally qualified health center certification: CCN 431806

Legal name
HORIZON HEALTH CARE INC
Doing business as
JERAULD COUNTY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Most recent change of ownership
Jul 1, 1998 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
602 1St St NE
Ste 1
Wessington Springs, SD 57382-2163

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

409 Summit St
Yankton, SD 57078
Phone (605) 668-8830

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, 2016
Samantha Plank Individual Corporate DirectorBoard Member Nov 14, 2011
Steve Heisel Individual Corporate DirectorBoard Member Dec 1, 2022
Dennis Nelsen Individual Corporate DirectorBoard Member Jun 1, 2017
Echo Petersen Individual Corporate Officer Nov 14, 2011
Rhea Lecompte Individual Corporate DirectorBoard Member Dec 1, 2022
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 DirectorBoard Member Nov 14, 2011
Brenda Schneider Individual Corporate DirectorBoard Member Jan 1, 2016
Sandra Sexton-Welling Individual Corporate DirectorBoard Member Jan 1, 2021
David W Schmidt Individual Corporate DirectorBoard Member Nov 14, 2011
Ryan Jensen Individual Corporate Director Jan 1, 2020
Melissa Hofer Individual Corporate OfficerCfo Jul 1, 2021
Jerry a Miller Individual Corporate DirectorBoard Member 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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1831207844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 1ST ST NE",
            "address_2": "SUITE 1",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822167",
            "telephone_number": "605-539-1778",
            "fax_number": "605-539-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 1ST ST NE",
            "address_2": "SUITE 1",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822167",
            "telephone_number": "605-539-1778",
            "fax_number": "605-539-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-11",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350102",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerauld County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wessington Springs, SD

Sources for this page

Verify at the official NPI Registry.