Provider Demographics
NPI:1134516560
Name:CHAMPION MARKETING CORP
Entity Type:Organization
Organization Name:CHAMPION MARKETING CORP
Other - Org Name:CMC TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAUNCEY
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-355-2351
Mailing Address - Street 1:882 JAY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-1222
Mailing Address - Country:US
Mailing Address - Phone:585-355-2351
Mailing Address - Fax:585-242-0972
Practice Address - Street 1:882 JAY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-1222
Practice Address - Country:US
Practice Address - Phone:585-381-2466
Practice Address - Fax:585-242-0972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker