1861041717 NPI number — HORIZONS MENTAL HEALTH CENTER, INC.

Table of content: (NPI 1861041717)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861041717 NPI number — HORIZONS MENTAL HEALTH CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZONS MENTAL HEALTH CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861041717
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 N LORRAINE ST STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUTCHINSON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67501-5600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-663-7595
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1901 E 23RD AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUTCHINSON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67502-1196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-663-7595
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2019

Additional Information

Authorized Official

Authorized Official Last Name:
FORAN
Authorized Official First Name:
THEDA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
ACCOUNTING ASSISTANT
Authorized Official Telephone Number:
620-888-6301

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com