COMWELL – NPI #1497968093
Clinic/Center

COMWELL is an AHC clinic located in SPARTA, IL. NPPES has assigned the NPI number 1497968093 to COMWELL on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 5 years ago on Feb 04, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMWELL below.

NPI Profile for
COMWELL

NPI Number
1497968093
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMWELL
Primary location
104 NORTHTOWN RD
SPARTA, IL 62286
Phone: (618) 443-3045 Fax: (618) 443-5767
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBER BROWNE
DIRECTOR OF FINANCE
Phone: (618) 282-6233
Updated
Certification Date
Feb 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)
IL A-0280-0002-A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.