Organization · Type 2 NPI
Third Street Community Clinic, Inc.
Federally Qualified Health Center (FQHC) · Ontario, OH
NPI number
1427492271
Active
Practice location
2131 Park Ave W, Suite 200
Ontario, OH 44906-1226
Fax (419) 522-0493
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 |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1427492271
Third Street Community Clinic, Inc.'s National Provider Identifier is 1427492271, issued on Apr 23, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ontario, OH. The record was last updated on Oct 29, 2024.