Third Street Community Clinic, INC

NPI #1720407554 in Mansfield, Ohio

Provider Information

NPI Number: 1720407554
Entity Type: Organization
Organization Name: Third Street Community Clinic, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Apr 9, 2014
Last Updated: Oct 29, 2024

Practice Location

Address: 270 STERKEL BLVD
Address 2: SUITE A
City: Mansfield
State: Ohio
ZIP Code: 44907-1508
Phone: (419) 775-1141

Authorized Official

Name: PEGGY ANDERSON
Title: CEO
Phone: (419) 526-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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