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Organization
THIRD STREET COMMUNITY CLINIC, INC
Active
Organization
THIRD STREET COMMUNITY CLINIC, INC
Active
Parent organization
THIRD STREET COMMUNITY CLINIC, INC
Other names
THIRD STREET OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
THIRD STREET COMMUNITY CLINIC, INC
Authorized official
PEGGY ANDERSON CEO (CEO)
(419) 522-6191
Entity
Organization
Contact information
Practice address
770 BALGREEN DR, MANSFIELD, OH 44906-4106
(419) 522-6800
(419) 522-6816
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-4911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35096570
OH
Other
Enumeration date
01/18/2013
Last updated
05/26/2022
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