Organization · Type 2 NPI

Third Street Community Clinic Inc

Federally Qualified Health Center (FQHC) · Marion, OH

NPI number 1861170565 Active

Practice location

320 Executive Dr
Marion, OH 43302-6310

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1861170565

Third Street Community Clinic Inc's National Provider Identifier is 1861170565, issued on Jul 11, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Marion, OH. The record was last updated on May 19, 2026.