OrganizationActive
Champion Health Care, LLC
NPI 1124644687 · Primary Care Clinic/Center · Washington, DC
Provider details
- NPI number
- 1124644687
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexa Marks, Chief Executive Officer(202) 743-1775
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
770 5th St Nw Apt 1106
Washington, DC 20001-2672
Phone: (202) 743-1775
Fax: (202) 301-1278
Approximate (ZIP-level) locationGet directions
Mailing address
43923 Glenhazel Dr
Ashburn, VA 20147-3949
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.