THIRD STREET COMMUNITY CLINIC INC NPI 1962150730

NPI Information

NPI: 1962150730
Provider Name: THIRD STREET COMMUNITY CLINIC INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
270 STERKEL BLVD STE A
MANSFIELD, OH
ZIP 44907
Phone: (419) 526-7866
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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 1962150730. The provider is registered as an organization entity type.

The provider's business location address is:

270 STERKEL BLVD STE A
MANSFIELD, OH
ZIP 44907-508
Phone: (419) 526-7866

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 3/11/2022 and was last updated on 3/11/2022.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	3336C0002X	Pharmacy	Clinic Pharmacy	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	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: 4/28/2024

NPI Synchronization or Removal

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