Basic Information
| Provider Information | |||||||||
| NPI: | 1427533652 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HORIZONS MENTAL HEALTH CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 N LORRAINE ST STE 202 | ||||||||
| Address2: | |||||||||
| City: | HUTCHINSON | ||||||||
| State: | KS | ||||||||
| PostalCode: | 675015600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6206637595 | ||||||||
| FaxNumber: | 6206635263 | ||||||||
| Practice Location | |||||||||
| Address1: | 102 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MEDICINE LODGE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 671041409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6208865057 | ||||||||
| FaxNumber: | 6208863473 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2018 | ||||||||
| LastUpdateDate: | 10/03/2018 | ||||||||
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| AuthorizedOfficialLastName: | HUDSON | ||||||||
| AuthorizedOfficialFirstName: | MEKINZIE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CONTROLLER | ||||||||
| AuthorizedOfficialTelephone: | 6206941076 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HORIZONS MENTAL HEALTH CENTER, INC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.