Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
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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