Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
Other names
Hawkins Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEGGY ANDERSON (CEO)
(419) 522-6191
Entity
Organization
Contact information
Practice address
2131 PARK AVE W, SUITE 200, ONTARIO, OH 44906-1226
(419) 526-7869
(419) 522-0493
Mailing address
1404 PARK AVE W, STE 2, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 522-0493
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
10/29/2024
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