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Organization
COMWELL
Active
Organization
COMWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARIE RENNER (BILLING ASSISTANT)
(618) 282-6233
Entity
Organization
Contact information
Practice address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
Mailing address
10257 STATE ROUTE 3, RED BUD, IL 62278-4418
(618) 282-6233
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/25/2024
Last updated
09/26/2024
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