| Organization Name: | HORIZON PRIMARY CARE LLC |
| NPI Number: | 1184015737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE HARDIN (SOLE MEMBER) |
| Mailing Address: | 400 Corporate Center Dr Vandalia |
| State: | OH US |
| Postal Code: | 453771164 |
| Phone Number: | 9372643155 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2015 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |