| Horizon Psychiatry, Llc | |
|
21370 John Milless Dr Suite 210 Rogers MN 55374-9449 | |
| (763) 428-2288 | |
| (763) 428-2132 |
| Full Name | Horizon Psychiatry, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21370 John Milless Dr, Rogers, Minnesota |
| Authorized Official Name and Position | Thomas Zinken (PRESIDENT) |
| Authorized Official Contact | 7634282288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Psychiatry, Llc 21370 John Milless Dr Suite 210 Rogers MN 55374-9449 Ph: (763) 428-2288 | Horizon Psychiatry, Llc 21370 John Milless Dr Suite 210 Rogers MN 55374-9449 Ph: (763) 428-2288 |
| NPI Number | 1417495003 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/15/2017 |
| Medicare PECOS PAC ID | 7214214584 |
|---|---|
| Medicare Enrollment ID | O20170516000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417495003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Debra C Zinken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588700702 PECOS PAC ID: 2365584877 Enrollment ID: I20100121000710 |
| Provider Name | Jean K Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346616281 PECOS PAC ID: 2860708153 Enrollment ID: I20150901002507 |
| Provider Name | Ryan Zinken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093262065 PECOS PAC ID: 9830486133 Enrollment ID: I20160930000958 |
| Provider Name | Heath Anthony Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790404788 PECOS PAC ID: 2860877784 Enrollment ID: I20220913003694 |
| Provider Name | Juli Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922754134 PECOS PAC ID: 1759740368 Enrollment ID: I20230629002590 |
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