NPIMap

Organization Active NPI

Horizon Health Care, Inc

Doing business as Mellette County Health Center

  • Federally Qualified Health Center (FQHC)
  • White River, SD
National Provider Identifier
1962511014
Registry record updated Feb 9, 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
Mellette County Health Center
Practice address
309 E 4TH St
White River, SD 57579-0281
Phone
(605) 259-3121
NPI assigned
Aug 30, 2006
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

309 E 4TH St
White River, SD 57579-0281

Mailing address

PO Box 281
White River, SD 57579-0281
Phone (605) 259-3121

Other names 1

  • Mellette County 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…
O20080922000513 SD Part A Provider - Federally Qualified Health Center (FQHC) 8921997933 Practice locations: White River, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962511014. Details of each certification follow.

Federally qualified health center certification: CCN 431824

Legal name
HORIZON HEALTH CARE INC
Doing business as
MELLETTE COUNTY COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2002
Last certification
May 1, 2002
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1977 in SD
Enrollment address
309 E 4TH St
White River, SD 57579

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

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

301 E 4TH St
White River, SD 57579

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 Jan 1, 2013
Steve Heisel Individual Corporate DirectorBoard Member Dec 1, 2022
Dennis Nelsen Individual Corporate DirectorBoard Member Jun 1, 2017
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 EmployeeBilling Supervisor May 1, 2011
Wade Erickson Individual Corporate OfficerCeo Jul 1, 2021
Tristan L Gruenhagen Individual Corporate DirectorBoard Member Jun 20, 2008
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 Jun 20, 2008
Ryan Jensen Individual Corporate DirectorBoard Member 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.

  • 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

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1962511014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "575790281",
            "telephone_number": "605-259-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 4TH ST",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "575790281",
            "telephone_number": "605-259-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-09",
        "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": "Mellette County Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White River, SD

Sources for this page

Verify at the official NPI Registry.