Third Street Community Clinic INC

NPI #1811364706 in Shelby, Ohio

Provider Information

NPI Number: 1811364706
Entity Type: Organization
Organization Name: Third Street Community Clinic INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 26, 2015
Last Updated: Oct 29, 2024

Practice Location

Address: 31 E MAIN ST
City: Shelby
State: Ohio
ZIP Code: 44875-1262
Phone: (419) 525-6795

Authorized Official

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

Specialties & Taxonomy Codes

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

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