Organization · Type 2 NPI

Third Street Community Clinic, Inc.

Federally Qualified Health Center (FQHC) · Mansfield, OH

NPI number 1306499314 Active

Practice location

205 W Cook Rd
Mansfield, OH 44907-2405

Fax (419) 525-6723

Mailing address

1404 Park Ave W Ste 2
Ontario, OH 44906-2719

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1306499314

Third Street Community Clinic, Inc.'s National Provider Identifier is 1306499314, issued on Jul 18, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mansfield, OH. The record was last updated on May 19, 2026.