Champion Medical Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC2783 Issued in TX

Legal business name

CHAMPION MEDICAL INC.

Practice address

33840 S. Garcia
#20
Port Isabel, TX 78578

Phone

(832) 640-7834

Fax

(866) 222-0783

NPI assigned

Jan 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carole J Baxter

Title

V.P.

Phone

(832) 640-7834

Specialties & licenses 2

Addresses

Other names 1

• Sterling Imaging Other name

Tax ID family

Champion Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sterling Imaging Inc.

  • Physical Therapy Clinic/Center
  • Port Isabel, TX
  • NPI 1255578308
  NPD tax ID

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1578614939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33840 S. GARCIA",
            "address_2": "#20",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "78578",
            "telephone_number": "832-640-7834",
            "fax_number": "866-222-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33840 S. GARCIA",
            "address_2": "#20",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "78578",
            "telephone_number": "832-640-7834",
            "fax_number": "866-222-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "832-640-7834",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "DC2783",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brownsville Community Health Center Corp
• Brownsville Community Health Clinic Corporation
• Cascos Counseling Institute, PLLC
• Havannah Marcela Cascos, LPC
• Margarita Cristina Cavazos, PHARM.D.
• City of Port Isabel
• Randy Cortez, M.A., PHLEBOTOMY TEC
• James Michael Deloach, RPH
• Family Care Specialists
• Donald George Fischer

• Health Service Clinic/Center in Port Isabel, TX
• Providers in Port Isabel, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.