Organization
CHAMPION TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANICE FANIEL (OWNER)
(585) 993-4649
Entity
Organization
Contact information
Practice address
875 E MAIN ST, SUITE 330A, ROCHESTER, NY 14605-2747
(585) 993-4649
Mailing address
875 E MAIN ST, SUITE 330A, ROCHESTER, NY 14605-2747
(585) 993-4649
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
12/22/2015
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