| Third Street Community Clinic Inc | |
|
31 E Main St Shelby OH 44875-1262 | |
| (419) 525-6795 | |
| Not Available |
| Full Name | Third Street Community Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 E Main St, Shelby, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Community Clinic Inc 1404 Park Ave W Ste 2 Mansfield OH 44906-2633 Ph: (419) 522-6191 | Third Street Community Clinic Inc 31 E Main St Shelby OH 44875-1262 Ph: (419) 525-6795 |
| NPI Number | 1811364706 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2365423977 |
|---|---|
| Medicare Enrollment ID | O20160226000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811364706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Shelby Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24 E Whitney Ave, Shelby, OH 44875 Phone: 419-347-2828 Fax: 419-347-2246 | |
Ohio Medical Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 E Whitney Ave # 2, Shelby, OH 44875 Phone: 419-347-2525 | |
Shelby Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Morris Rd, Suite 1, Shelby, OH 44875 Phone: 419-347-4040 | |
Third Street Community Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 W Main St, 2nd Floor, Shelby, OH 44875 Phone: 419-525-6732 | |
Ajay Chawla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Ave Ste 2, Shelby, OH 44875 Phone: 419-342-4242 Fax: 419-347-1873 |