Comwell
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Sparta, IL
NPI 1497968093 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1497968093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- A-0280-0002-A (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
- Organization subpart
- No
Authorized official
- Name
- Kimber L Browne
- Title
- Director of Finance
- Phone
- (618) 282-6233
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Human Service Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | A-0280-0002-A | IL | Yes |
Addresses
Primary practice location
104 Northtown Rd
Sparta, IL 62286
Mailing address
104 Northtown Rd
Sparta, IL 62286-1081
Phone (618) 443-3045
Other providers in Sparta, IL
- David Taewoong Chung
- Community Orthopedics & Sports Medicine, PC
- Comwell
- Comwell
- Comwell
- Russell Coulter
- County of Randolph Nursing Home
- Kermit Cox
- Nancy Ann Davison
- Deaconess Illinois Clinic, Inc
All providers in Sparta, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.