Organization Active NPI

Comwell

Doing business as Human Service Center of S Metro E

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Okawville, IL
National Provider Identifier
1659733699
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-0280-0005-A Issued in IL
Legal business name
COMWELL
Doing business as
Human Service Center of S Metro E
Practice address
109 W Mill Street
Okawville, IL 62271-4418
Phone
(618) 241-2091
Fax
(618) 241-2093
NPI assigned
Mar 28, 2016
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0280-0005-A IL Primary

Addresses

Primary practice location

109 W Mill Street
Okawville, IL 62271-4418

Mailing address

10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233

Other names 1

  • Human Service Center of S Metro E Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comwell22 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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1659733699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10257 STATE ROUTE 3",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622784418",
            "telephone_number": "618-282-6233",
            "fax_number": "618-282-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MILL STREET",
            "city": "OKAWVILLE",
            "state": "IL",
            "postal_code": "622714418",
            "telephone_number": "618-241-2091",
            "fax_number": "618-241-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "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-0280-0005-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Human Service Center of S Metro E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okawville, 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.

Verify at the official NPI Registry.