| Champion Healthcare Services | |
|
301 Mccullough Dr Suite 418 Charlotte NC 28262-3310 | |
| (919) 500-3464 | |
| Not Available |
| Full Name | Champion Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Mccullough Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Nicole Lowe (CONTROLLER) |
| Authorized Official Contact | 9195003464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Healthcare Services 4428 Louisburg Rd Ste 105 Raleigh NC 27616-4302 Ph: () - | Champion Healthcare Services 301 Mccullough Dr Suite 418 Charlotte NC 28262-3310 Ph: (919) 500-3464 |
| NPI Number | 1376883819 |
|---|---|
| Provider Enumeration Date | 02/20/2013 |
| Last Update Date | 02/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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