Organization
THIRD STREET COMMUNITY CLINIC INC
Active
Other names
MANSFIELD FAMILY HEALTH 2
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
270 STERKEL BLVD STE A, MANSFIELD, OH 44907-1508
(419) 526-7866
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
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
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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