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Champion Healthcare LLC

NPI 1508262247ActiveOrganization· Contractor· Lebanon, TN

Contractor in Lebanon, Tennessee, registered in NPPES in November 2014. The authorized official on file is Darryl Champion, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1508262247
StatusActive
Entity typeOrganization
NPI issuedNov 6, 2014
Last updated in NPPESApr 22, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years