<Unavail>

LBN: Third Street Dental Mobile Van
<Unavail> is an health care organization with primary practice located at 600 W 3Rd St , Mansfield OH 44906-2633. 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 Dental Mobile Van can be contacted via phone (419) 522-6191, or through Anderson, Peggy via phone (419) 522-6191.

Contact Information

Primary practice address
600 W 3Rd St Mansfield OH 44906-2633
Phone: (419) 522-6191
Fax: (419) 526-4911
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Peggy
Phone: (419) 522-6191

Health care specialties

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

Profile Details

NPI number 1548594526
LBN Legal business name Third Street Dental Mobile Van
DBA Doing business as <Unavail>
Authorized official Anderson, Peggy
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 24th, 2009
Last updated May 26th, 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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