Organization · Type 2 NPI

Third Street Community Clinic Inc

Federally Qualified Health Center (FQHC) · Mansfield, OH

NPI number 1972053452 Active

Practice location

200 Park Ave W
Mansfield, OH 44902-1608

Call (419) 522-2239 Map

Fax (419) 525-6723

Mailing address

1404 Park Ave W, Ste 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...

4 other providers at this address

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About NPI 1972053452

Third Street Community Clinic Inc's National Provider Identifier is 1972053452, issued on Oct 10, 2016. 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 May 19, 2026.