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 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
Mailing address
1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
(419) 522-6191
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
02/15/2016
Last updated
05/19/2026
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