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Organization

CHAMPION EMS

Active
Other names
CHRISTUS EMS
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN SALTER (CAO)
(903) 291-2600
Entity
Organization

Contact information

Practice address
2201 S MOBBERLY AVE, LONGVIEW, TX 75602-3565
(903) 291-2600
(903) 291-2632
Mailing address
2201 S MOBBERLY AVE, LONGVIEW, TX 75602-3565
(903) 291-2600
(903) 291-2632

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
300228
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000712201
TX
01
AMB528
BCBS PROVIDER NUMBER
TX
Enumeration date
10/02/2006
Last updated
07/13/2021
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