Champion Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAMPION HEALTHCARE SERVICES

Practice address

2949 New Bern Ave
Ste. 108
Raleigh, NC 27610-1248

Phone

(919) 500-3464

Fax

(919) 800-3413

NPI assigned

Jul 25, 2012

Last updated

Mar 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Byron Keith Williams

Title

President

Phone

(919) 434-5100

Specialties & licenses 2

Addresses

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.

• Champion Healthcare Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1376883819
  NPD tax ID
• Champion Healthcare Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1811236581
  NPD tax ID

Locations

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1528314754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "STE. 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-500-3464",
            "fax_number": "919-800-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "STE. 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-500-3464",
            "fax_number": "919-800-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-434-5100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa C Chambers, LCSW
• Whitney Chambers, LPCA
• Kayla Chame
• Julie Champagne
• Champion Healthcare Services
• Champion Healthcare Services
• Karonda Champion-Pender
• Brooke Davis Champion, PA-C
• Kayla M Champion
• Margaret Kern Champion, MD

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.