HORIZON HEALTH CARE INC NPI 1912972712

NPI Information

NPI: 1912972712
Provider Name: HORIZON HEALTH CARE INC

Doing Business As: FAITH COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
112 N 2ND AVE W
FAITH, SD
ZIP 57626
Phone: (605) 967-2644
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HORIZON HEALTH CARE INC is a federally qualified health center (fqhc) clinic center in Faith, SD. HORIZON HEALTH CARE INC NPI is 1912972712. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Community Health Center.

The provider's business location address is:

112 N 2ND AVE W
FAITH, SD
ZIP 57626-577
Phone: (605) 967-2644
Fax: (605) 967-2844

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

The CLIA number assigned to this NPI record is 43D0658954 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/23/2006 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	Other Provider Identifier Issuer
1	5350130	MEDICAID	SOUTH DAKOTA
2	431813	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
3	40374	OTHER		PART B GROUP #

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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