Organization
HORIZON HEALTHCARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS COUNTS RPH (PRESIDENT)
(276) 228-5940
Entity
Organization
Contact information
Practice address
185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
(276) 228-5940
(276) 228-9292
Mailing address
185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
(276) 228-5940
(276) 228-9292
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
0000013211
TN
251F00000X
Home Infusion Agency
0201003165
VA
251F00000X
Home Infusion Agency
08170
NC
251F00000X
Home Infusion Agency
M00559211
WV
332B00000X
Durable Medical Equipment & Medical Supplies
0000013211
TN
332B00000X
Durable Medical Equipment & Medical Supplies
0201003165
VA
332B00000X
Durable Medical Equipment & Medical Supplies
08170
NC
332B00000X
Durable Medical Equipment & Medical Supplies
M00559211
WV
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0201003165
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
M00559211
WV
3336H0001X
Home Infusion Therapy Pharmacy
0000013211
TN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0201003165
VA
3336H0001X
Home Infusion Therapy Pharmacy
08170
NC
3336H0001X
Home Infusion Therapy Pharmacy
M00559211
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000013211
—
TN
05
—
008504806
—
VA
05
—
009106294
—
VA
05
—
0144254000
—
WV
05
—
0144254001
—
WV
01
—
240087
ANTHEM
VA
05
—
4810493
—
NC
01
—
4827967
NCPDP
VA
Enumeration date
04/26/2006
Last updated
12/07/2010
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