Comwell

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-0280-0002-A Issued in IL

Legal business name

COMWELL

Practice address

104 Northtown Rd
Sparta, IL 62286

Phone

(618) 443-3045

Fax

(618) 443-5767

NPI assigned

May 8, 2007

Last updated

Feb 4, 2021By the provider in NPPES

Organization subpart

No

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

Addresses

Tax ID family

Human Services Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

• Comwell

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, IL
  • NPI 1023220241
  NPD tax ID
• Comwell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bud, IL
  • NPI 1093928111
  NPD tax ID
• Comwell

  • Developmentally Disabled Services Day Training Agency
  • Red Bud, IL
  • NPI 1134199037
  NPD tax ID
• Comwell

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, IL
  • NPI 1174356471
  NPD tax ID
• Comwell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bud, IL
  • NPI 1215174982
  NPD tax ID
• Comwell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sparta, IL
  • NPI 1245452739
  NPD tax ID
• Comwell

  • Developmentally Disabled Services Day Training Agency
  • Red Bud, IL
  • NPI 1245477926
  NPD tax ID
• Comwell

  • Community Health Clinic/Center
  • Red Bud, IL
  • NPI 1316764871
  NPD tax ID
• Comwell

  • Private Vehicle
  • Red Bud, IL
  • NPI 1336353523
  NPD tax ID
• Comwell

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chester, IL
  • NPI 1356563563
  NPD tax ID
• Comwell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chester, IL
  • NPI 1386856409
  NPD tax ID
• Comwell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Okawville, IL
  • NPI 1417207861
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1497968093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NORTHTOWN RD",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861081",
            "telephone_number": "618-443-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NORTHTOWN RD",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "62286",
            "telephone_number": "618-443-3045",
            "fax_number": "618-443-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0280-0002-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Taewoong Chung, MD
• Community Orthopedics & Sports Medicine, PC
• Comwell
• Comwell
• Comwell
• Russell Coulter, MD
• County of Randolph Nursing Home
• Kermit Cox, CRNA
• Nancy Ann Davison
• Deaconess Illinois Clinic, Inc (Deaconess Illinois Clinic)

• Substance Use Disorder Rehabilitation Clinic/Center in Sparta, IL
• Providers in Sparta, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• 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.

Verify at the official NPI Registry.