Organization · Type 2 NPI

Third Street Community Clinic Inc

Primary Care Clinic/Center · Shelby, OH

NPI number 1548916893 Active

Practice location

31 E Main St
Shelby, OH 44875-1262

Call (419) 522-6191 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center	261QD0000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Podiatric Clinic/Center	261QP1100X	None listed
Primary Care Clinic/Center Primary	261QP2300X	None listed
Clinic Pharmacy	3336C0002X	None listed

Primary Care Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1548916893
Entity type: Organization (Type 2)
Issued: Feb 25, 2022
Last updated: Oct 29, 2024
Status: Active
Subpart: Yes of Third Street Community Clinic Inc

Other names

<unavail>
Shelby Health and Wellness Center · doing business as
Shelby Health and Wellness Center · 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 1548916893

Third Street Community Clinic Inc's National Provider Identifier is 1548916893, issued on Feb 25, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shelby, OH. The record was last updated on Oct 29, 2024.