Active NPI
Community Hospitals and Wellness Centers
- Community Based Hospice Care Agency
- Bryan, OH
National Provider Identifier
1386681245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- COMMUNITY HOSPITALS AND WELLNESS CENTERS
- Practice address
- 619 W High St
Bryan, OH 43506-1621 - Phone
- (419) 636-1131
- Fax
- (419) 636-3100
- NPI assigned
- Jun 1, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip L. Ennen
- Title
- President
- Phone
- (419) 636-1131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | OH | Primary |
Addresses
Primary practice location
619 W High St
Bryan, OH 43506-1621
Mailing address
433 W High St
Bryan, OH 43506-1690
Phone (419) 636-1131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0988703 | Medicaid | OH | |
| 000000157133 | Other | OH | ANTHEM BC BS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1386681245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061690",
"telephone_number": "419-636-1131",
"fax_number": "419-636-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 W HIGH ST",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061621",
"telephone_number": "419-636-1131",
"fax_number": "419-636-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOSPITALS AND WELLNESS CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ENNEN",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-636-1131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0988703",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000157133",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, OH
- Ransford Commey, M.D.
- Community Health Professionals, Inc.
- Community Health Professionals, Inc.
- Community Hospitals and Wellness Centers
- Community Hospitals and Wellness Centers
- Community Hospitals and Wellness Centers
- Community Hospitals and Wellness Centers
- Diane K Conrad, M.D.
- David M Cooley, MD
- Laurie Ann Criswell, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.