THIRD STREET COMMUNITY CLINIC NPI 1760864649

NPI Information

NPI: 1760864649
Provider Name: THIRD STREET COMMUNITY CLINIC

Doing Business As: ASHLAND HEALTH AND WELLNESS CENTER

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

Specialization: Primary Care

Address:
309 ARTHUR ST
ASHLAND, OH
ZIP 44805
Phone: (567) 217-7778
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THIRD STREET COMMUNITY CLINIC is a primary care clinic center in Ashland, OH. THIRD STREET COMMUNITY CLINIC NPI is 1760864649. The provider is registered as an organization entity type.
The provider Is Doing Business As Ashland Health And Wellness Center.

The provider's business location address is:

309 ARTHUR ST
ASHLAND, OH
ZIP 44805-206
Phone: (567) 217-7778

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 CLIA number assigned to this NPI record is 36D2175620 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2015 and was last updated on 2/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
4	3336C0002X	Pharmacy	Clinic Pharmacy			No
5	363LG0600X	Nurse Practitioner	Gerontology	COA.17471-NP	OHIO	No
6	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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