COMWELL; NPI #1336353523

Contact Information

COMWELL

10257 STATE ROUTE THREE
RED BUD, IL 62278

Phone: 618-282-6233
Fax: 618-282-6949
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for COMWELL

NPI Number 1336353523

LBN Legal business name COMWELL

Authorized official AMY BAUER - (IT COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2007

Last updated 02/23/2021 - About 5 years ago

Identifiers

Other

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PROVIDER KEY

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMWELL

Contact Information

Specialty

Private Vehicle

NPI Profile & details for COMWELL

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