CHAMPION TRANSPORTATION, LLC (NPI# 1619457611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619457611 |
| Entity Type | Organization |
| Organization Name | CHAMPION TRANSPORTATION, LLC |
| Practice Address |
5057 Braham Dr Olive Branch MS 38654-4503 |
| Mailing Address |
419 Crump St Sardis MS 38666-1535 |
| Practice Telephone | 6625196207 |
| Mailing Telephone | 6625196207 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |
| Authorized Official Name | TROSIKI PETTIS (OWNER) |
| Authorized Official Telephone | 6625196207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CHAMPION TRANSPORTATION, LLC | 14288 Polk St, Indianola, IA 50125 |
| Street Address |
5057 BRAHAM DR |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801443460 | Desoto Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9113 Highway 178, Olive Branch, MS 38654-1638 | 2019-08-19 |
| 1992369789 | Amber-leigh Management Corp | Non-emergency Medical Transport (VAN) | 9505 Highway 178, Olive Branch, MS 38654-2623 | 2019-04-26 |
| 1669816302 | Mid South Express Shuttle | Non-emergency Medical Transport (VAN) | 4185 Sidlehill Dr, Olive Branch, MS 38654-6141 | 2013-04-24 |
| 1205160058 | Daniel Hill | Non-emergency Medical Transport (VAN) | 4118 Lexi, Olive Branch, MS 38654 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116713 | Harold Cooper | Non-emergency Medical Transport (VAN) | 790 County Road 101, Abbeville, MS 38601-9663 | 2020-08-30 |
| 1093327884 | T & T Nemt Services, LLP | Non-emergency Medical Transport (VAN) | 2927 Highway 532, Taylorsville, MS 39168-4633 | 2020-08-21 |
| 1851903264 | Irvin Charles Jackson | Non-emergency Medical Transport (VAN) | 327 East Street, Shubuta, MS 39360 | 2020-08-18 |
| 1891304234 | Catrina D Kitchens | Non-emergency Medical Transport (VAN) | 212 N Bierdeman Rd, Pearl, MS 39208-4611 | 2020-07-30 |
| 1073131835 | Moral Lyft | Non-emergency Medical Transport (VAN) | 615a Govan Ave, Holly Springs, MS 38635-2110 | 2020-07-08 |
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1194346676 | Watson Transportation Com LLC | Non-emergency Medical Transport (VAN) | 630 Norris St, Greenville, MS 38703-6042 | 2020-05-06 |
| 1851910830 | Stepping Out Transportation Service LLC | Non-emergency Medical Transport (VAN) | 523 Brentwood Ave, Greenwood, MS 38930-6910 | 2020-04-10 |
| 1275169773 | Bruce Edward Hunt | Non-emergency Medical Transport (VAN) | 116 Pine Dr, Hattiesburg, MS 39401-8408 | 2020-03-16 |
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on CHAMPION TRANSPORTATION, LLC.
| 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.