THIRD STREET COMMUNITY CLINIC INC NPI 1245858950

NPI Information

  • NPI: 1245858950
  • Provider Name: THIRD STREET COMMUNITY CLINIC INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: FIVE POINTS PRIMARY CARE
  • Address: 200 PARK AVE W
    MANSFIELD, OH
    ZIP 44902
  • Phone: (419) 522-2239

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NPI Details

THIRD STREET COMMUNITY CLINIC INC is a primary care clinic center in Mansfield, OH. THIRD STREET COMMUNITY CLINIC INC NPI is 1245858950. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Points Primary Care.

The provider's business location address is:

200 PARK AVE W
MANSFIELD, OH
ZIP 44902-608
Phone: (419) 522-2239
Fax: (419) 525-6723

The provider's authorized official is Peggy Anderson .
The authorized official title is Ceo and has the following contact phone number (419) 522-6191.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 10/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QP1100XClinic/CenterPodiatricNo
6261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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