Comwell

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Red Bud, IL

NPI 1679795157 · NPPES record last updated Feb 4, 2021

Key facts

NPI
1679795157
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
License
A-0280-0001-A (IL)
Legal business name
COMWELL
Practice address
10257 State Route 3
Red Bud, IL 62278-4418
Phone
(618) 282-6233
Fax
(618) 282-6220
NPI assigned
May 3, 2007
Organization subpart
No

Authorized official

Name
Kimber L Browne
Title
Director of Finance
Phone
(618) 282-6233

Corporate family (same tax ID) 21

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Human Service Center (22 organizations share this tax ID)

Locations

10257 State Route 3
#M
Red Bud, IL 62278

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0280-0001-A IL Yes

Addresses

Primary practice location

10257 State Route 3
Red Bud, IL 62278-4418

Mailing address

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

Other providers in Red Bud, IL

All providers in Red Bud, IL · Substance Use Disorder Rehabilitation Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.