Comwell | |
104 Northtown Drive Sparta IL 62286 | |
(618) 443-3045 | |
Not Available |
Full Name | Comwell |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 104 Northtown Drive, Sparta, Illinois |
Authorized Official Name and Position | Kimber L Browne (DIRECTOR OF FINANCE) |
Authorized Official Contact | 6182826233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comwell 10257 State Route Three Red Bud IL 62278 Ph: () - | Comwell 104 Northtown Drive Sparta IL 62286 Ph: (618) 443-3045 |
NPI Number | 1245452739 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 02/03/2021 |
Certification Date | 02/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245452739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04076 (Illinois) | Primary |
Ashley Doerge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11233 State Route 13, Sparta, IL 62286 Phone: 618-598-6040 Fax: 618-615-4151 | |
Christian Social Services Of Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 N Market St Ste D, Sparta, IL 62286 Phone: 618-708-3490 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Northtown Rd, Sparta, IL 62286 Phone: 618-282-6233 Fax: 618-282-6949 |