| Comwell | |
|
109 West Elm Street Okawville IL 62271 | |
| (618) 243-2091 | |
| Not Available |
| Full Name | Comwell |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 109 West Elm Street, Okawville, Illinois |
| Authorized Official Name and Position | Amy Bauer (IT COORDINATOR) |
| Authorized Official Contact | 6182826233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comwell 10257 State Route 3 Red Bud IL 62278-4418 Ph: (618) 282-6233 | Comwell 109 West Elm Street Okawville IL 62271 Ph: (618) 243-2091 |
| NPI Number | 1417207861 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417207861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |