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THIRD STREET COMMUNITY CLINIC INC NPI 1447619788


NPI Information

NPI: 1447619788
Provider Name: THIRD STREET COMMUNITY CLINIC INC

Doing Business As: THIRD STREET FAMILY HEALTH SERVICES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
600 W 3RD ST
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-6191
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THIRD STREET COMMUNITY CLINIC INC is a primary care clinic center in Mansfield, OH. THIRD STREET COMMUNITY CLINIC INC NPI is 1447619788. 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 3RD ST
MANSFIELD, OH
ZIP 44906-633
Phone: (419) 522-6191

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 2/15/2016 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5261QP1100XClinic/CenterPodiatricNo
63336C0002XPharmacyClinic PharmacyNo
7261QP2300XClinic/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: 4/28/2024

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.