E DAWN MARTIN CACIII LLC (NPI# 1396235511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396235511 |
Entity Type | Organization |
Organization Name | E DAWN MARTIN CACIII LLC |
Other Organization Name | RECOVERY UNLIMITED |
Practice Address |
1702 E Pikes Peak Ave Colorado Springs CO 80909-5717 |
Mailing Address |
112 Iowa Ave Ste 4 Colorado Springs CO 80909-5947 |
Practice Telephone | 7193587338 |
Practice Fax Number | 8442732340 |
Mailing Telephone | 7193587338 |
Mailing Fax Number | 8442732340 |
Enumeration Date | 2018-05-14 |
Last Update Date | 2019-05-01 |
Authorized Official Name | MRS. ELIZABETH DAWN MARTIN (OWNER) |
Authorized Official Telephone | 7199308801 |
Authorized Official Credential | CACIII |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1730-01 | Ambulatory Health Care Facilities | |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1730-03 | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RECOVERY UNLIMITED | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
112 Iowa Ave Ste 4, Colorado Springs, CO 809095947 | 7193587338 | 8442732340 |
2105 E Bijou St Ste B, Colorado Springs, CO 809095955 | 7194730672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457846685 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St, Colorado Springs, CO 80909-5954 | 2018-06-29 |
1205326428 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St Ste B, Colorado Springs, CO 80909-5955 | 2018-05-14 |
1710472949 | E Dawn Martin Caciii LLC | Clinic/Center | 112 Iowa Ave, Colorado Springs, CO 80909-5930 | 2018-06-29 |
Street Address |
1702 E PIKES PEAK AVE |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909-5717 |
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1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457846685 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St, Colorado Springs, CO 80909-5954 | 2018-06-29 |
1205326428 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St Ste B, Colorado Springs, CO 80909-5955 | 2018-05-14 |
1902357551 | Peaks Recovery Services | Clinic/Center | 5475 Mark Dabling Blvd Ste 102, Colorado Springs, CO 80918-3847 | 2016-10-19 |
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Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80909 |
Please comment or provide details below to improve the information on E DAWN MARTIN CACIII LLC.
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.