Third Street Community Clinic, Inc. in Mansfield - Federally Qualified Health Center (fqhc)
Third Street Community Clinic, Inc. - NPI 1336252519
Third Street Community Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Mansfield, Ohio. Third Street Community Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Third Street Community Clinic, Inc. is 1336252519. The last update date is 2022-05-26.
Third Street Community Clinic, Inc.'s current location address is 600 W. Third Street, Mansfield, Ohio. You can contact this provider via phone number 4195226191 and fax number 4195267939. The mailing address for Third Street Community Clinic, Inc. is 600 W. Third Street, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Third Street Community Clinic, Inc. |
|---|---|
| Address | 600 W. Third Street, Mansfield, Ohio |
| Phone Number | 4195226191 |
| Fax Number | 4195267939 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Anderson Peggy |
| Telephone Number | 4195267880 |
NPI Number Detail
| NPI Number | 1336252519 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2022-05-26 |
Provider Mailing Address Detail
| Address | 600 W. Third Street |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449062633 |
| Phone Number | 4195226191 |
| Fax Number | 4195267939 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2069452 | OH | -- |
Post Comment/ Review Below
What is the Third Street Community Clinic, Inc.'s 1336252519?
The Third Street Community Clinic, Inc.'s NPI (National Provider Identifier) Number is 1336252519. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Third Street Community Clinic, Inc. is physically located?
The Third Street Community Clinic, Inc. is physically situated at the following address: 600 W. Third Street, Mansfield, OH, 449062633.
What is Third Street Community Clinic, Inc.'s area of expertise and its corresponding taxonomy classification?
The Third Street Community Clinic, Inc.'s field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Third Street Community Clinic, Inc. receive its 1336252519 assignment from the Centers for Medicare & Medicaid Services?
The Third Street Community Clinic, Inc. was assigned its 1336252519 on 2006-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Third Street Community Clinic, Inc.'s information last updated?
The Third Street Community Clinic, Inc.'s information was last updated on 2022-05-26.