| Third Street Community Clinic Inc | |
|
124 N Linden Rd Mansfield OH 44906-2616 | |
| (419) 522-6191 | |
| Not Available |
| Full Name | Third Street Community Clinic Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 124 N Linden Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Community Clinic Inc 1404 Park Ave W Suite 2 Mansfield OH 44906-2633 Ph: (419) 522-6191 | Third Street Community Clinic Inc 124 N Linden Rd Mansfield OH 44906-2616 Ph: (419) 522-6191 |
| NPI Number | 1588119598 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588119598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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