NPIMap

Organization Active NPI

Horizon Family Medicine

Doing business as Horizon Family Medicine - Princeton

  • Non-Pharmacy Dispensing Site
  • Princeton, NC
National Provider Identifier
1124343454
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
200401445 Issued in NC
Legal business name
HORIZON FAMILY MEDICINE
Doing business as
Horizon Family Medicine - Princeton
Practice address
213 Barden St
Princeton, NC 27569-7206
Phone
(919) 936-5176
NPI assigned
Mar 30, 2010
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenny Heine
Title
Sr. Director of Operations
Phone
(858) 625-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 200401445 NC Primary

Addresses

Primary practice location

213 Barden St
Princeton, NC 27569-7206

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names 1

  • Horizon Family Medicine - Princeton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Horizon Family Medicine4 organizations share this tax ID, including this one
Part of
Hamot Health Foundation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

213 Barden St
Princeton, NC 27569
Phone (919) 205-1710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1124343454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BARDEN ST",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275697206",
            "telephone_number": "919-936-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "200401445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Family Medicine - Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.