<Unavail>
LBN: Third Street Community Clinic, Inc.
<Unavail> is an health care organization with primary practice located at 600 W. Third Street , Mansfield OH 44906-2633. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Third Street Community Clinic, Inc. can be contacted via phone (419) 522-6191, or through Anderson, Peggy via phone (419) 526-7880.
Contact Information
Primary practice address
600 W. Third Street
Mansfield OH 44906-2633
Phone: (419) 522-6191
Fax: (419) 526-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1336252519 |
|---|---|
| LBN Legal business name | Third Street Community Clinic, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Anderson, Peggy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | May 19th, 2026 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336252519 | NPPES |
| Ohio | MEDICAID | 2069452 |
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