Organization · Type 2 NPI
Third Street Community Clinic, Inc.
Federally Qualified Health Center (FQHC) · Mansfield, OH
NPI number
1649599119
Active
Practice location
770 Balgreen Drive, Suite 207
Mansfield, OH 44906-2633
Fax (419) 522-6816
Mailing address
1404 Park Ave W, Ste 2
Mansfield, OH 44906-2633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician | 207VG0400X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1649599119
Third Street Community Clinic, Inc.'s National Provider Identifier is 1649599119, issued on May 24, 2010. 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 Jun 3, 2026.