Healthcare Provider Details

I. General information

NPI: 1225167893
Provider Name (Legal Business Name): COMMUNITY HOSPITALS AND WELLNESS CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 W HIGH ST
BRYAN OH
43506-1690
US

IV. Provider business mailing address

433 W HIGH ST
BRYAN OH
43506-1690
US

V. Phone/Fax

Practice location:
  • Phone: 419-636-1131
  • Fax: 419-636-3100
Mailing address:
  • Phone: 419-636-1131
  • Fax: 419-636-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. CHAD TINKEL
Title or Position: PRESIDENT
Credential:
Phone: 419-636-1131