Third Street Community Clinic, Inc.

NPI #1427492271 in Ontario, Ohio

Provider Information

NPI Number
1427492271
Entity Type
Organization
Organization Name
Third Street Community Clinic, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 23, 2013
Last Updated
Oct 29, 2024

Practice Location

Address
2131 PARK AVE W
Address 2
SUITE 200
State
Ohio
ZIP Code
44906-1226
Phone
(419) 526-7869

Authorized Official

Name
MR. PEGGY ANDERSON
Title
CEO
Phone
(419) 522-6191

Specialties & Taxonomy Codes

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

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