THIRD STREET COMMUNITY CLINIC INC. NPI 1336252519

NPI Information

THIRD STREET COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Mansfield, OH. THIRD STREET COMMUNITY CLINIC, INC. NPI is 1336252519. The provider is registered as an organization entity type.
The provider Is Doing Business As Third Street Family Health Services.

The provider's business location address is:

600 W. THIRD STREET
MANSFIELD, OH
ZIP 44906-633
Phone: (419) 522-6191
Fax: (419) 526-7939

The provider's authorized official is Peggy Anderson .
The authorized official title is Ceo and has the following contact phone number (419) 526-7880.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 5/26/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.