Organization · Type 2 NPI

Third Street Community Clinic, Inc.

Federally Qualified Health Center (FQHC) · Mansfield, OH

NPI number 1336252519 Active

Practice location

600 W. Third Street
Mansfield, OH 44906-2633

Call (419) 522-6191 Map

Fax (419) 526-7939

Mailing address

1404 Park Ave W, Ste 2
Mansfield, OH 44906-2633

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Clinic Pharmacy	3336C0002X	None listed

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

3 other providers at this address

Other federally qualified health center (fqhc) providers in Mansfield

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NPI record

NPI: 1336252519
Entity type: Organization (Type 2)
Issued: Aug 15, 2006
Last updated: May 19, 2026
Status: Active

Other names

<unavail>
Third Street Family Health Services · doing business as
Third Street Family Health Services · doing business as

Authorized official

Peggy Anderson
CEO
(419) 526-7880

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336252519

Third Street Community Clinic, Inc.'s National Provider Identifier is 1336252519, issued on Aug 15, 2006. 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.