POWELL RECOVERY INSTITUTE


Address: 16 S Broadway, Baltimore, MD 21231-1712
Phone: 4102761773

POWELL RECOVERY INSTITUTE (NPI# 1659538437) 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) 1659538437
Entity Type Organization
Organization Name POWELL RECOVERY INSTITUTE
Practice Address 16 S Broadway
Baltimore
MD 21231-1712
Practice Telephone 4102761773
Practice Fax Number 4102762056
Mailing Telephone 4102761773
Mailing Fax Number 4102762056
Enumeration Date 2008-05-20
Last Update Date 2008-05-20
Authorized Official Name MR. WILLIAM E SCOTT (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4102761773
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 16 S BROADWAY
City BALTIMORE
State MD
Zip Code 21231-1712

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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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1891262135 Emerge Baltimore Inc. Clinic/Center 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 2018-10-24
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1831671684 Farrell & Associates Clinic/Center 4201 Harcourt Rd, Baltimore, MD 21214-3409 2018-08-29
1023502838 Pikesville Pediatrics, LLC Clinic/Center 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 2018-06-15
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1730612235 Concerted Care Group Brooklyn Clinic/Center 112 E Patapsco Ave, Baltimore, MD 21225-1745 2017-04-11
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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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