Active NPI
Comwell
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chester, IL
National Provider Identifier
1386856409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 04076
- Legal business name
- COMWELL
- Practice address
- 2517 State St
Chester, IL 62233-1149 - Phone
- (618) 282-6233
- Fax
- (618) 282-6220
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimber L Browne
- Title
- Director of Finance
- Phone
- (618) 282-6233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 04076 | IL | Primary |
Addresses
Primary practice location
2517 State St
Chester, IL 62233-1149
Mailing address
10257 State Route Three
Red Bud, IL 62278
Phone (618) 282-6233
National Provider Directory
National Provider Directory- Tax ID family
- Human Service Center
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-
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- Developmentally Disabled Services Day Training Agency
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-
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Locations
2517 State St
Chester, IL 62233
Phone (618) 282-6233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1386856409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10257 STATE ROUTE THREE",
"city": "RED BUD",
"state": "IL",
"postal_code": "62278",
"telephone_number": "618-282-6233",
"fax_number": "618-282-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 STATE ST",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331149",
"telephone_number": "618-282-6233",
"fax_number": "618-282-6220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMWELL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "BROWNE",
"authorized_official_first_name": "KIMBER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "618-282-6233"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": "04076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.