HORIZON HEALTH CARE INC. NPI 1316054935

NPI Information

NPI: 1316054935
Provider Name: HORIZON HEALTH CARE INC.

Doing Business As: MARTIN COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
109 PUGH ST
MARTIN, SD
ZIP 57551
Phone: (605) 685-6868
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HORIZON HEALTH CARE INC. is a federally qualified health center (fqhc) clinic center in Martin, SD. HORIZON HEALTH CARE INC. NPI is 1316054935. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin Community Health Center.

The provider's business location address is:

109 PUGH ST
MARTIN, SD
ZIP 57551-700
Phone: (605) 685-6868
Fax: (605) 685-6943

The provider's authorized official is John Mengenhausen .
The authorized official title is Ceo and has the following contact phone number (605) 772-4525.

The CLIA number assigned to this NPI record is 43D1069533 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5350250	MEDICAID	SOUTH DAKOTA
2	431823	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
3	S41690	MEDICARE PIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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