Organization
THIRD STREET DENTAL MOBILE VAN
Active
Parent organization
THIRD STREET COMMUNITY CLINIC
Other names
Third Street Family Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THIRD STREET COMMUNITY CLINIC
Authorized official
PEGGY ANDERSON (CFO)
(419) 522-6191
Entity
Organization
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-4911
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-4911
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
05/26/2022
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