MEDICARE: COLWELL INTEREST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	485	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407042567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLWELL INTEREST, INC.

Provider Business Mailing Address
First Line	:	1111 MAIN ST
Second Line	:
City	:	PINEVILLE
State	:	LA
Zip	:	71360-6423
Country	:	US
Telephone Number	:	318-442-2284
Fax Number	:	318-448-1427

Provider Business Practice Location Address
First Line	:	3004 HIGHWAY 457
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71302-9255
Country	:	US
Telephone Number	:	318-442-5266
Fax Number	:	318-442-5266

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	MR. JAMES B. COLWELL
Credential	:
Telephone Number	:	318-442-2284

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	04/09/2008

Similar Medicare Providers

1669463485 — COMPASS BEHAVIORAL CENTER OF ALEXANDRIA, INC.
Practice Location Address:

4606 LEE ST
ALEXANDRIA, LA
71302-3235

Practice Phone: 318-442-9784
Practice Fax: 318-442-9785

1568404838 — RAPIDES PRIMARY HEALTH CARE CENTER, INCORPORATED
Practice Location Address:

1217 WILLOW GLEN RIVER RD
ALEXANDRIA, LA
71302-5454

Practice Phone: 318-487-4400
Practice Fax: 318-487-0525

1891703294 — FUSION SERVICES,LLC
Practice Location Address:

3750 GOVERNMENT STREET
ALEXANDRIA, LA
71302

Practice Phone: 225-205-6015
Practice Fax:

1013926054 — SPECTRUM PRODUCTS AND TECHNOLOGY
Practice Location Address:

7525 HIGHWAY 71 S
ALEXANDRIA, LA
71302-9116

Practice Phone: 318-767-8816
Practice Fax: 318-473-4279

1922018472 — BRIAN CARL JOBE MD
Practice Location Address:

101 EVANRIDGE ST
ALEXANDRIA, LA
71302-2102

Practice Phone: 318-442-8958
Practice Fax:

1093802795 — COMPREHENSIVE MENTAL HEALTH CENTER OF ALEXANDRIA, LLC
Practice Location Address:

4606 LEE ST
ALEXANDRIA, LA
71302-3235

Practice Phone: 318-442-3163
Practice Fax: 318-442-4779

Directions to “COLWELL INTEREST, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.