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CHAMPION DIALYSIS CENTER LLC
NPI 1063753358
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Warren, OH

Active since March 12, 2013
4554 MAHONING AVE NW, WARREN, OH 44483(330) 847-0189(330) 847-0194 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2023, Aug 18, 2022, Mar 10, 2020 and 2 more (5 updates tracked since 2017).

About Champion Dialysis Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION DIALYSIS CENTER LLC (NPI 1063753358) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Warren, Ohio and active in the NPI registry since March 2013. The organization lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1063753358
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCHAMPION DIALYSIS CENTER LLC
Location Address4554 MAHONING AVE NWWarren, OH 44483-1437
Mailing Address4554 Mahoning Ave NwWarren, OH 44483-1437 · (330) 847-0189 · Fax (330) 847-0194
Phone(330) 847-0189
Fax(330) 847-0194
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateMarch 12, 2013
Last NPPES UpdateJanuary 13, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1063753358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
4554 MAHONING AVE NW, Warren, OH 44483
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Other Identifiers 1

Medicaid0105624OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champion Dialysis Center LLC's NPI number?

The NPI number for Champion Dialysis Center LLC is 1063753358. It was assigned to this organization in the NPPES registry on March 12, 2013.

Where is Champion Dialysis Center LLC located?

Champion Dialysis Center LLC is located at 4554 Mahoning Ave NW, Warren, OH 44483. The listed phone number is (330) 847-0189.

What is Champion Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Champion Dialysis Center LLC was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.