Active NPI
Champion Healthcare Services
- Community/Behavioral Health Agency
- Cincinnati, OH
National Provider Identifier
1306408539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHAMPION HEALTHCARE SERVICES
- Practice address
- 201 E 5TH St Ste 1900
Cincinnati, OH 45202-4162 - Phone
- (919) 434-5100
- NPI assigned
- Jul 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron Williams
- Title
- Ceo
- Phone
- (919) 434-5100
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
201 E 5TH St Ste 1900
Cincinnati, OH 45202-4162
Mailing address
2949 New Bern Ave Ste 108a
Raleigh, NC 27610-1248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447378 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2949 New Bern Ave
Ste 108A
Raleigh, NC 27610
Phone (919) 890-5492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1306408539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2949 NEW BERN AVE STE 108A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 5TH ST STE 1900",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452024162",
"telephone_number": "919-434-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPION HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-434-5100"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447378",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.