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CHAMPION SHOE SALES & REPAIR INC
NPI 1245615517
Durable Medical Equipment & Medical Supplies in Lewisburg, PA

Active since July 28, 2015
119 N 2ND ST REAR, LEWISBURG, PA 17837(570) 523-0822(570) 523-0846 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champion Shoe Sales & Repair Inc NPPES

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

CHAMPION SHOE SALES & REPAIR INC (NPI 1245615517) is a healthcare organization registered as a durable medical equipment & medical supplies in Lewisburg, Pennsylvania and active in the NPI registry since July 2015. The organization lists Gina Marie Fick, President, as its authorized official.

NPPES Registry Identity

NPI1245615517
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCHAMPION SHOE SALES & REPAIR INC
Location Address119 N 2ND ST REARLewisburg, PA 17837-1564
Mailing Address119 N 2nd St RearLewisburg, PA 17837-1564 · (570) 523-0822 · Fax (570) 523-0846
Phone(570) 523-0822
Fax(570) 523-0846
Organization SubpartNo
Authorized OfficialGina Marie FickPresident · (570) 523-0822
Enumeration DateJuly 28, 2015
Last NPPES UpdateOctober 26, 2015
✔ NPI 1245615517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in PA · 6000005305
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
119 N 2ND ST REAR, Lewisburg, PA 17837
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Other Identifiers 1

Medicare NSC7384940001PA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA FICK CFTS
Orthotic Fitter
119 N 2ND ST REAR
LEWISBURG, PA 17837
Union County (570) 523-0822
ANGELO L. GIUNTA
Durable Medical Equipment & Medical Supplies
119 N 2ND ST REAR
LEWISBURG, PA 17837
Union County (570) 523-0822

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 Shoe Sales & Repair Inc's NPI number?

The NPI number for Champion Shoe Sales & Repair Inc is 1245615517. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Champion Shoe Sales & Repair Inc located?

Champion Shoe Sales & Repair Inc is located at 119 N 2nd St Rear, Lewisburg, PA 17837. The listed phone number is (570) 523-0822.

What is Champion Shoe Sales & Repair Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Champion Shoe Sales & Repair Inc was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.