Organization
COMMUNITY HOSPITALS AND WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
433 W HIGH STREET, BRYAN, OH 43506-1679
(419) 636-1131
(419) 636-3100
Mailing address
433 W HIGH STREET, BRYAN, OH 43506-1679
(419) 636-1131
(419) 636-3100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157134
ANTHEM BC BS
OH
05
—
1254404
—
OH
05
—
1924697-IP
—
MI
05
—
1924712-OP
—
MI
Enumeration date
05/25/2006
Last updated
03/02/2026
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