<Unavail>

LBN: Third Street Community Clinic Inc
<Unavail> is an health care organization with primary practice located at 200 Park Ave W , Mansfield OH 44902-1608. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Third Street Community Clinic Inc can be contacted via phone (419) 522-2239, or through Anderson, Peggy via phone (419) 526-7880.

Contact Information

Primary practice address
200 Park Ave W Mansfield OH 44902-1608
Phone: (419) 522-2239
Fax: (419) 525-6723
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Peggy
Phone: (419) 526-7880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1972053452
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 Oct 10th, 2016
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.

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