Organization Active NPI

Champion Transportation LLC

Doing business as Champion Transportation Services

  • Non-emergency Medical Transport (VAN)
  • North Chesterfield, VA
National Provider Identifier
1467918961
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CHAMPION TRANSPORTATION LLC
Doing business as
Champion Transportation Services
Practice address
938 Kennerly Rd
North Chesterfield, VA 23235-4612
Phone
(804) 887-3443
Fax
(804) 320-2090
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Wanda Fortenberry
Title
Owner
Phone
(804) 887-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

938 Kennerly Rd
North Chesterfield, VA 23235-4612

Mailing address

938 Kennerly Rd
North Chesterfield, VA 23235-4612
Phone (804) 887-3443

Other names 1

  • Champion Transportation Services Doing business as

National Provider Directory

National Provider Directory
Part of
Champion Transportation LLC

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1467918961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 KENNERLY RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354612",
            "telephone_number": "804-887-3443",
            "fax_number": "804-320-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 KENNERLY RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354612",
            "telephone_number": "804-887-3443",
            "fax_number": "804-320-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION TRANSPORTATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "FORTENBERRY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-887-3443"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Transportation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.