Organization · Type 2 NPI

Third Street Community Clinic, Inc.

Federally Qualified Health Center (FQHC) · Bucyrus, OH

NPI number 1629620109 Active

Practice location

2458 Stetzer Rd Ste A
Bucyrus, OH 44820-2066

Call (419) 522-6191 Map

Fax (419) 525-6723

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Other federally qualified health center (fqhc) providers in Bucyrus

Third Street Community Clinic, IncFederally Qualified Health Center (FQHC) Bucyrus, OH NPI 1669158838

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NPI record

NPI: 1629620109
Entity type: Organization (Type 2)
Issued: Jul 15, 2019
Last updated: May 19, 2026
Status: Active

Other names

<unavail>
Bucyrus Health and Wellness · doing business as
Bucyrus Health and Wellness · doing business as
Bucyrus Health and Wellness Center · doing business as

Authorized official

Peggy Anderson
CEO
(419) 526-7880

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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 1629620109

Third Street Community Clinic, Inc.'s National Provider Identifier is 1629620109, issued on Jul 15, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bucyrus, OH. The record was last updated on May 19, 2026.