Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
Other names
Third Street Family Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
600 W. THIRD STREET, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-7939
Mailing address
1404 PARK AVE W, STE 2, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-7939
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069452
—
OH
Enumeration date
08/15/2006
Last updated
05/19/2026
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