Provider Demographics
NPI:1619989324
Name:HORIZON MEDICAL LLC
Entity Type:Organization
Organization Name:HORIZON MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-226-1700
Mailing Address - Street 1:5250 KLOCKNER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-4335
Mailing Address - Country:US
Mailing Address - Phone:804-226-1700
Mailing Address - Fax:804-222-4308
Practice Address - Street 1:7925 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-6303
Practice Address - Country:US
Practice Address - Phone:804-226-1700
Practice Address - Fax:804-222-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009242332B00000X
NC01595332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4746640001Medicare NSC