Horizon Family Medicine

Organization Active NPI Non-Pharmacy Dispensing Site · Princeton, NC

NPI 1124343454 · NPPES record last updated Oct 23, 2012

Key facts

NPI
1124343454
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
License
200401445 (NC)
Legal business name
HORIZON FAMILY MEDICINE
Practice address
213 Barden St
Princeton, NC 27569-7206
Phone
(919) 936-5176
NPI assigned
Mar 30, 2010
Organization subpart
Yes
Parent organization (as reported)
MEDVANTX, INC.

Authorized official

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

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Horizon Family Medicine (4 organizations share this tax ID)
Part of
Tri - State Medical Group Inc

Specialties & licenses

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

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

  • Horizon Family Medicine - Princeton Doing business as

Other providers in Princeton, NC

All providers in Princeton, NC · Non-Pharmacy Dispensing Site in North Carolina

Sources for this page

Verify at the official NPI Registry.