THIRD STREET COMMUNITY CLINIC INC NPI 1558576116

NPI Information

NPI: 1558576116
Provider Name: THIRD STREET COMMUNITY CLINIC, INC

Doing Business As: THIRD STREET OB/GYN

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

Specialization: Primary Care

Address:
770 BALGREEN DR STE 207
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-6800
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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 1558576116. The provider is registered as an organization entity type.
The provider Is Doing Business As Third Street Ob/gyn.

The provider's business location address is:

770 BALGREEN DR STE 207
MANSFIELD, OH
ZIP 44906-106
Phone: (419) 522-6800
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) 526-7880.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 4/17/2024.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QB0400X	Clinic/Center	Birthing	No
3	261QD0000X	Clinic/Center	Dental	No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
5	261QM0850X	Clinic/Center	Adult Mental Health	No
6	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
7	261QP1100X	Clinic/Center	Podiatric	No
8	261QP2300X	Clinic/Center	Primary Care	Yes
9	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
10	273R00000X	Psychiatric Unit		No
11	276400000X	Rehabilitation, Substance Use Disorder Unit		No
12	283Q00000X	Psychiatric Hospital		No

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

NPI Synchronization or Removal

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