POWELL RECOVERY CENTER


Address: 14 S Broadway, Baltimore, MD 21231-1712
Phone: 4102761773

POWELL RECOVERY CENTER (NPI# 1427585850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427585850
Entity Type Organization
Organization Name POWELL RECOVERY CENTER
Practice Address 14 S Broadway
Baltimore
MD 21231-1712
Practice Telephone 4102761773
Mailing Telephone 4102761773
Enumeration Date 2017-05-16
Last Update Date 2017-05-16
Authorized Official Name KIM WIREMAN (CEO/PRESIDENT)
Authorized Official Telephone 4436101455
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 21D2002690 MD Laboratories

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457968984 Powell Recovery Center Substance Abuse Rehabilitation Facility 22 S Broadway, Baltimore, MD 21231-1711 2020-09-29
1346897428 Powell Recovery Center Substance Abuse Rehabilitation Facility 1633 E Baltimore St, Baltimore, MD 21231-1510 2019-08-22
1992261622 Powell Recovery Center Substance Abuse Rehabilitation Facility 817 N Carey St, Baltimore, MD 21217-5258 2019-02-19
1982160693 Powell Recovery Center Substance Abuse Rehabilitation Facility 2902 Sylvan Ave, Baltimore, MD 21214-1248 2019-02-18
1932673506 Powell Recovery Center Substance Abuse Rehabilitation Facility 1114 Harlem Ave, Baltimore, MD 21217-2430 2019-01-17
1770057317 Powell Recovery Center Substance Abuse Rehabilitation Facility 207 N Carey St, Baltimore, MD 21223-1945 2019-01-16
1811471089 Powell Recovery Center Substance Abuse Rehabilitation Facility 600 Mccabe Ave, Baltimore, MD 21212-4210 2018-09-24
1609350065 Powell Recovery Center Substance Abuse Rehabilitation Facility 1428 Mcculloh St, Baltimore, MD 21217-3437 2018-09-21
1770067134 Powell Recovery Center Substance Abuse Rehabilitation Facility 3019 Pulaski Hwy, Baltimore, MD 21224-1323 2018-09-21
1326528860 Powell Recovery Center Substance Abuse Rehabilitation Facility 2400 Barclay St, Baltimore, MD 21218-5326 2018-08-15

Office Location

Street Address 14 S BROADWAY
City BALTIMORE
State MD
Zip Code 21231-1712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952382665 Powell Recovery Center, Inc. Clinic/Center 14 S Broadway, Baltimore, MD 21231-1712 2005-11-09
1295334597 Patricia Ann Collins Counselor 14 S Broadway, Baltimore, MD 21231-1712 2020-10-19
1861009532 Charvel Louise Stokes Counselor 14 S Broadway, Baltimore, MD 21231-1712 2020-09-28
1356979819 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 14 S Broadway, Baltimore, MD 21231-1712 2020-03-31
1376183459 Kiara Faulkner Counselor 14 S Broadway, Baltimore, MD 21231-1712 2020-01-07
1669010542 Wanda Lee Brookins Peer Specialist 14 S Broadway, Baltimore, MD 21231-1712 2019-12-11
1255977138 Joey Lynn Wallace Counselor 14 S Broadway, Baltimore, MD 21231-1712 2019-11-26
1619510922 Phylea C Daniels-mccoy Counselor 14 S Broadway, Baltimore, MD 21231-1712 2019-10-21
1225687387 Renee Ann Liebnow Counselor 14 S Broadway, Baltimore, MD 21231-1712 2019-09-10
1275181737 Betty Ann Phillips Counselor 14 S Broadway, Baltimore, MD 21231-1712 2019-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356901102 Danielle Wexler Student in an Organized Health Care Education/Training Program 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 2019-06-14
1427615822 Elana Rachel Kagan Psychologist 1750 East Fairmont Ave, Baltimore, MD 21231 2019-05-22
1982196176 Gabriel Ewing Massage Therapist Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 2018-06-04
1306358098 Zachary Woods Chiropractor 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 2017-11-02
1396191458 The Johns Hopkins Hospital Pharmacy 401 N. Broadway, Suite 1001, Baltimore, MD 21231 2016-05-09
1235593468 Saurabh Raj Pandey Pharmacist 919 N Caroline St, Baltimore, MD 21231 2016-04-13
1306251202 Clare Gibson Psychologist 2240 East Baltimore St, Baltimore, MD 21231 2014-06-30
1245645514 Marie Woods Psychologist 14 S. Broadway St., Baltimore, MD 21231 2014-06-25
1003226234 Rebecca Delaney Tsao Nurse Practitioner 98 North Broadway, Suite 421, Baltimore, MD 21231 2014-04-28
1265856488 Paul Laurence Dunbar High School Clinic/Center 1400 Orleans Street, Baltimore, MD 21231 2014-02-07
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780178764 Lifespring Laboratories Clinical Medical Laboratory 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 2018-06-21
1821593161 Institute for Dermatopathology, Inc. Clinical Medical Laboratory 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 2018-03-28
1336650605 Patapsco Ave Health Services Clinical Medical Laboratory 1017 E Patapsco Ave, Baltimore, MD 21225-2228 2017-10-13
1154850063 Maximum Lab Services, LLC Clinical Medical Laboratory 2211 Maryland Ave Ste A, Baltimore, MD 21218-5627 2017-06-06
1073925517 Sysmex Inostics, Inc. Clinical Medical Laboratory 1812 Ashland Ave, Suite 500, Baltimore, MD 21205-1546 2014-06-02
1245655067 Carepoint Diagnostic Services, Ltd Clinical Medical Laboratory 7416 Harford Rd, Baltimore, MD 21234-7107 2014-03-03
1366776551 Brt Laboratories, Inc. Clinical Medical Laboratory 400 W Franklin St, Baltimore, MD 21201-1811 2009-09-22
1265685440 Ccc Diagnostics, LLC Clinical Medical Laboratory 3918 Vero Road, Suite B, Baltimore, MD 21227-1522 2008-10-31
1518150846 Howard H. Bond,m.d Clinical Medical Laboratory 9618 Belair Rd, Baltimore, MD 21236-1104 2007-08-21
1942425905 Ophthalmic Photography Inc Clinical Medical Laboratory 3131 Enclave Ct, Baltimore, MD 21208-3337 2007-04-16
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Competitor

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City BALTIMORE
Zip Code 21231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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