MARTIN COMMUNITY HEALTH CENTER
NPI 1316054935
Clinic/Center - Federally Qualified Health Center (FQHC) in Martin, SD

NPI Status: Active since August 23, 2006

Contact Information

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

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 43D1069533
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-03-2027

About MARTIN COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Martin Community Health Center, a primary care provider established in Martin, South Dakota operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1316054935 assigned on August 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Martin Community Health Center. The authorized official of this NPI record is John Mengenhausen (Ceo)

NPI
1316054935
Provider Legal Name
HORIZON HEALTH CARE INC.
Other Organization Name
MARTIN COMMUNITY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
109 PUGH ST MARTIN, SD 57551
Location Phone
(605) 685-6868
Location Fax
(605) 685-6943
Mailing Address
PO BOX 550 MARTIN, SD 57551
Mailing Phone
(605) 685-6868
Mailing Fax
(605) 685-6943
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
02-06-2017
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A primary care provider (PCP) like Martin Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN MENGENHAUSEN

Authorized Official Title
CEO
Authorized Official Phone
(605) 772-4525

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5350250MEDICAID (05)SD 
431823MEDICARE OSCAR/CERTIFICATION (06)SD 
S41690MEDICARE PIN (08)SD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D1069533
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 04, 2025
Certificate Expiration Date
May 03, 2027
Laboratory Director
KENDRA KAHLER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Martin Community Health Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MARTIN COMMUNITY HEALTH CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316054935
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
232605896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 5 + 8 + 9 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1316054935 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649214362DR. LARRY ALVIN WEITZENKAMP M. D.
Individual
Family Medicine109 PUGH ST
MARTIN, SD 57551
(605) 685-1450
1356867238 COURTNEY LAJUAN CARMICHAEL PA-C
Individual
Physician Assistant109 PUGH ST
MARTIN, SD 57551
(605) 685-6868
1982194049 THERESA E. HAMMERQUIST MSN, APRN, NP-C, CNP
Individual
Nurse Practitioner (Primary Care)109 PUGH ST
MARTIN, SD 57551
(605) 685-6868
1972121945 JOCELYN REBECCA BERGH PA
Individual
Physician Assistant109 PUGH ST
MARTIN, SD 57551
(605) 685-6868
1083915789MS. CYNTHIA ELAINE BOLTZ
Individual
Nurse Practitioner (Family)109 PUGH ST
MARTIN, SD 57551
(605) 685-6868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316054935, enumerated in the NPI registry as an "organization" on August 23, 2006

The provider is located at 109 Pugh St Martin, Sd 57551 and the phone number is (605) 685-6868

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medica, Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 43D1069533 for a "federally qualified health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.