CHAMPION EMS (NPI# 1457444150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457444150 |
| Entity Type | Organization |
| Organization Name | CHAMPION EMS |
| Practice Address |
507 High Street Henderson TX 75652 |
| Mailing Address |
2201 South Moberly Longview TX 75604 |
| Practice Telephone | 9032912500 |
| Practice Fax Number | 9032912632 |
| Mailing Telephone | 9032912500 |
| Mailing Fax Number | 9032912632 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | VICTOR WELLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9032912500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
300228 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER NUMBER | AMB528 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087779 | Champion Ems | Emergency Medical Technician, Intermediate | 6722 Highway 85 Ste 5, Riverdale, GA 30274-2373 | 2019-08-02 |
| Street Address |
507 HIGH STREET |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487776050 | City of Henderson | Ambulance | 240 S Water St, Henderson, NV 89015-7227 | 2007-04-04 |
| 1881677805 | Methodist Health, Inc. | Ambulance | 383 Borax Dr, Henderson, KY 42420-5050 | 2005-11-23 |
| 1376530725 | Vance County Ambulance Service | Ambulance | 122 Young St, Suite B, Henderson, NC 27536-4268 | 2005-09-30 |
| 1740667757 | Global Exec Aviation LLC | Ambulance | 2831 Saint Rose Pkwy, Suite 200, Henderson, NV 89052-4840 | 2015-04-28 |
| 1386916930 | Zipcare, Inc | Ambulance | 2360 Corporate Cir, Suite 400, Henderson, NV 89074-7707 | 2012-01-29 |
| 1518105287 | Specialized Medical Services | Ambulance | 121 Industrial Park Rd, Suite 104, Henderson, NV 89015-6605 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163499 | Jewel Ambulance Service Inc | Ambulance | 6065 Hillcroft St Ste 327, Houston, TX 77081-1087 | 2020-10-29 |
| 1871190264 | Integrity Alliance Partners LLC | Ambulance | 933 Clubside Dr, Suite A, East Bernard, TX 77435 | 2020-10-08 |
| 1962010850 | Rapid Turtle LLC | Ambulance | 7411 Windsor View Dr, Spring, TX 77379-5373 | 2020-07-17 |
| 1033736962 | Duval County Emergency Service District # 1 | Ambulance | 1106 S Norton Ave, Freer, TX 78357-7835 | 2020-06-26 |
| 1467078816 | American Medical Response of Texas, Inc. | Ambulance | 521 N Sam Houston Ave, Odessa, TX 79761-4432 | 2020-06-22 |
| 1376169870 | Molentium Ems, Inc. | Ambulance | 2024 Naomi St, Houston, TX 77054-3821 | 2020-06-19 |
| 1528682481 | Missouri Health Services | Ambulance | 2440 Texas Pkwy Ste 370b, Missouri City, TX 77489-4000 | 2020-06-05 |
| 1275155699 | 1st Response LLC | Ambulance | 5408 E Loop 250 N Unit B, Midland, TX 79705-9319 | 2020-05-07 |
| 1033754650 | Care Ems Inc | Ambulance | 2440 Texas Pkwy Ste 340e, Missouri City, TX 77489-4073 | 2019-11-07 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.