Organization
THIRD STREET DENTAL MOBILE VAN
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up