Third Street Community Clinic, INC

NPI #1336411156 in Mansfield, Ohio

Provider Information

NPI Number
1336411156
Entity Type
Organization
Organization Name
Third Street Community Clinic, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 9, 2012
Last Updated
Oct 26, 2017

Practice Location

Address
741 SCHOLL RD STE A
State
Ohio
ZIP Code
44907-1571
Phone
(419) 525-6737

Authorized Official

Name
JARED POLLICK
Title
CEO
Phone
(419) 526-7880

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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