Third Street Community Clinic Inc

LBN: Third Street Community Clinic Inc
Third Street Community Clinic Inc is an health care organization with primary practice located at 2131 Park Ave W Ste 200 , Ontario OH 44906-1226. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Third Street Community Clinic Inc can be contacted via phone (419) 525-6730, or through Anderson, Peggy via phone (419) 526-7880.

Contact Information

Primary practice address
2131 Park Ave W Ste 200 Ontario OH 44906-1226
Phone: (419) 525-6730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Peggy
Phone: (419) 526-7880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1700534575
LBN Legal business name Third Street Community Clinic Inc
DBA Doing business as
Authorized official Anderson, Peggy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2022
Last updated Mar 11th, 2022 - about 4 years 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.

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