| Champion Health Care, Llc | |
|
770 5th St Nw Apt 1106 Washington DC 20001-2672 | |
| (202) 743-1775 | |
| (202) 301-1278 |
| Full Name | Champion Health Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 770 5th St Nw Apt 1106, Washington, District Of Columbia |
| Authorized Official Name and Position | Alexa Marks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2027431775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Health Care, Llc 43923 Glenhazel Dr Ashburn VA 20147-3949 Ph: (202) 743-1775 | Champion Health Care, Llc 770 5th St Nw Apt 1106 Washington DC 20001-2672 Ph: (202) 743-1775 |
| NPI Number | 1124644687 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124644687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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