| Third Street Community Clinic Inc | |
|
199 W Main St 2nd Floor Shelby OH 44875-1490 | |
| (419) 525-6732 | |
| Not Available |
| Full Name | Third Street Community Clinic Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 199 W Main St, Shelby, Ohio |
| Authorized Official Name and Position | Jared Pollick (CEO) |
| Authorized Official Contact | 4195226191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Community Clinic Inc 199 W Main St 2nd Floor Shelby OH 44875-1490 Ph: () - | Third Street Community Clinic Inc 199 W Main St 2nd Floor Shelby OH 44875-1490 Ph: (419) 525-6732 |
| NPI Number | 1700250511 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700250511 | 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: Medicare Enrolled Practice Location: 31 E Main St, Shelby, OH 44875 Phone: 419-525-6795 | |
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 |