Organization
CHAMPION TRANSPORTATION LLC
Active
Organization
CHAMPION TRANSPORTATION LLC
Active
Parent organization
-
Other names
Champion Transportation Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
WANDA FORTENBERRY (OWNER)
(804) 887-3443
Entity
Organization
Contact information
Practice address
938 KENNERLY RD, NORTH CHESTERFIELD, VA 23235-4612
(804) 887-3443
(804) 320-2090
Mailing address
938 KENNERLY RD, NORTH CHESTERFIELD, VA 23235-4612
(804) 887-3443
(804) 320-2090
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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