Third Street Community Clinic INC

NPI #1972053452 in Mansfield, Ohio

Provider Information

NPI Number: 1972053452
Entity Type: Organization
Organization Name: Third Street Community Clinic INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Oct 10, 2016
Last Updated: Oct 29, 2024

Practice Location

Address: 200 PARK AVE W
City: Mansfield
State: Ohio
ZIP Code: 44902-1608
Phone: (419) 522-2239

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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