Organization
THIRD STREET COMMUNITY CLINIC
Active
Other names
ASHLAND HEALTH AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
309 ARTHUR ST, ASHLAND, OH 44805-3206
(567) 217-7778
Mailing address
1404 PARK AVE W, STE 2, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 525-6723
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
363LG0600X
Gerontology Nurse Practitioner
COA.17471-NP
OH
Other
Enumeration date
06/26/2015
Last updated
10/29/2024
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