Organization Active NPI

Champion EMS Ambulance SVC

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1184757403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101406 Issued in TX
Legal business name
CHAMPION EMS AMBULANCE SVC
Practice address
12521 Fondren Rd Ste W
Houston, TX 77035-5299
Phone
(713) 283-9577
Fax
(713) 283-8577
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sylvia Oliver
Title
Owner
Phone
(713) 283-9577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101406 TX Primary

Addresses

Primary practice location

12521 Fondren Rd Ste W
Houston, TX 77035-5299

Mailing address

12521 Fondren Rd Ste W
Houston, TX 77035-5299
Phone (713) 283-9577

National Provider Directory

National Provider Directory

Locations

12521 Fondren Rd
Ste W
Houston, TX 77035
Phone (713) 283-9577

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184757403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 FONDREN RD STE W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770355299",
            "telephone_number": "713-283-9577",
            "fax_number": "713-283-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12521 FONDREN RD STE W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770355299",
            "telephone_number": "713-283-9577",
            "fax_number": "713-283-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION EMS AMBULANCE SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-283-9577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.