Champion Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CHAMPION TOWNSHIP TRUSTEES

Practice address

139 Champion Ave W
Warren, OH 44483-1413

Phone

(330) 847-0311

Fax

(330) 847-0318

NPI assigned

Dec 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tom Dempsey

Title

Chief

Phone

(330) 847-0311

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1154483204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CHAMPION AVE W",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831413",
            "telephone_number": "330-847-0311",
            "fax_number": "330-847-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-847-0311"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "913071300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550207",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000176195",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0527782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Ann Chambers
• Champion Dialysis Center LLC
• Champion Discount Pharmacy, LLC
• Champion Local School District
• Champion Med Express Care LLC
• Emily Ann Chaney
• Jane Choo Chang-Vitkoczy, LPN
• Samantha Channell
• Anna Lynn Chapman, CT
• Ian Christian Charlton

• Ambulance in Warren, OH
• Providers in Warren, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.