Third Street Community Clinic, Inc in Mansfield - Adult Mental Health

Third Street Community Clinic, Inc - NPI 1558576116

Third Street Community Clinic, Inc is a Adult Mental Health in Mansfield, Ohio. Third Street Community Clinic, Inc practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Third Street Community Clinic, Inc is 1558576116. The last update date is 2020-09-30.

Third Street Community Clinic, Inc's current location address is 770 Balgreen Dr Ste 207, Mansfield, Ohio. You can contact this provider via phone number 4195226800 and fax number 4195256723. The mailing address for Third Street Community Clinic, Inc is 770 Balgreen Dr Ste 207, Mansfield, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Third Street Community Clinic, Inc
Address 770 Balgreen Dr Ste 207, Mansfield, Ohio
Phone Number 4195226800
Fax Number 4195256723
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Jeremy Theresa
Telephone Number 4195226191

NPI Number Detail

NPI Number 1558576116
Provider Enumeration Date 2007-05-14
Last Updated Date 2020-09-30

Provider Mailing Address Detail

Address 770 Balgreen Dr Ste 207
City Mansfield
State Ohio (OH)
Post Code 449064106
Phone Number 4195226800
Fax Number 4195256723

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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FAQs about Third Street Community Clinic, Inc

What is the unique 10-digit identifier code assigned to Third Street Community Clinic, Inc by the Centers for Medicare & Medicaid Services?

The Third Street Community Clinic, Inc has been issued the NPI (National Provider Identifier) 1558576116 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Third Street Community Clinic, Inc?

The Third Street Community Clinic, Inc is physically situated at 770 Balgreen Dr Ste 207, in the city of Mansfield, state of OH, with the postal code 449064106.

What is Third Street Community Clinic, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Third Street Community Clinic, Inc's specialized field of practice is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0850X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558576116 to Third Street Community Clinic, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1558576116 to Third Street Community Clinic, Inc on 2007-05-14.

When was the information related to Third Street Community Clinic, Inc most recently updated or refreshed?

The details pertaining to the Third Street Community Clinic, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-30.

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