NPIMap

Organization Active NPI

Champion Healthcare Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1376883819
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHAMPION HEALTHCARE SERVICES
Practice address
301 McCullough Dr
Suite 418
Charlotte, NC 28262-3310
Phone
(919) 500-3464
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Nicole Lowe
Title
Controller
Phone
(919) 500-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

301 McCullough Dr
Suite 418
Charlotte, NC 28262-3310

Mailing address

4428 Louisburg Rd Ste 105
Raleigh, NC 27616-4302

National Provider Directory

National Provider Directory
Tax ID family
Champion Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1376883819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 LOUISBURG RD STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "address_2": "SUITE 418",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "919-500-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "919-500-3464"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.