THIRD STREET COMMUNITY CLINIC INC NPI 1558576116

NPI Information

  • NPI: 1558576116
  • Provider Name: THIRD STREET COMMUNITY CLINIC, INC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: THIRD STREET OB/GYN
  • Address: 770 BALGREEN DR STE 207
    MANSFIELD, OH
    ZIP 44906
  • Phone: (419) 522-6800

Map and Directions

Get Directions

NPI Details

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 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
1261Q00000XClinic/CenterNo
2261QB0400XClinic/CenterBirthingNo
3261QD0000XClinic/CenterDentalNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
7261QP1100XClinic/CenterPodiatricNo
8261QP2300XClinic/CenterPrimary CareYes
9261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
10273R00000XPsychiatric UnitNo
11276400000XRehabilitation, Substance Use Disorder UnitNo
12283Q00000XPsychiatric HospitalNo

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

NPI Synchronization or Removal

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.