Organization · Type 2 NPI

Third Street Community Clinic, Inc

Federally Qualified Health Center (FQHC) · Mansfield, OH

NPI number 1720407554 Active

Practice location

270 Sterkel Blvd, Suite A
Mansfield, OH 44907-1508

Call (419) 775-1141 Map

Fax (419) 525-6723

Mailing address

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

Other practice locations

370 Cline Ave Ste 3, Mansfield, OH 44907-1057 · (419) 709-9597

Specialties and licenses

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

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

73 other providers at this address

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NPI record

NPI: 1720407554
Entity type: Organization (Type 2)
Issued: Apr 9, 2014
Last updated: Oct 19, 2026
Status: Active

Other names

<unavail>
Cline Avenue Health and Wellness · doing business as
Mansfield Family Health 2 · 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 1720407554

Third Street Community Clinic, Inc's National Provider Identifier is 1720407554, issued on Apr 9, 2014. 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 Oct 19, 2026.