# HORIZON PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184015737
- **Authorized official:** NICHOLE M HARDIN RN (SOLE MEMBER)
- **Authorized official phone:** (937) 264-3155

## Contact information

- **Practice address:** 400 CORPORATE CENTER DR, VANDALIA, OH 45377-1164
- **Practice address phone:** (937) 387-9168
- **Practice address fax:** (937) 387-9224
- **Mailing address:** 400 CORPORATE CENTER DR, VANDALIA, OH 45377-1164
- **Mailing address phone:** (937) 387-9168
- **Mailing address fax:** (937) 387-9224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 02/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0130133 | — | OH |