Organization
THIRD STREET COMMUNITY CLINIC INC
Active
Other names
Mansfield Middle School - SBHC for Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
124 N LINDEN RD, MANSFIELD, OH 44906-2616
(419) 522-6191
Mailing address
1404 PARK AVE W, SUITE 2, MANSFIELD, OH 44906-2633
(419) 522-6191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
08/16/2024
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