Third Street Community Clinic, Inc.

LBN: Third Street Community Clinic, Inc.
Third Street Community Clinic, Inc. is an health care organization with primary practice located at 205 W Cook Rd , Mansfield OH 44907-2405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Third Street Community Clinic, Inc. can be contacted via phone (419) 522-6191, or through Jeremy, Theresa via phone (419) 522-6191.

Contact Information

Primary practice address
205 W Cook Rd Mansfield OH 44907-2405
Phone: (419) 522-6191
Fax: (419) 525-6723
Website:
Map and Directions
Authorized official contact:
Name: Jeremy, Theresa
Phone: (419) 522-6191

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1306499314
LBN Legal business name Third Street Community Clinic, Inc.
DBA Doing business as
Authorized official Jeremy, Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2019
Last updated Feb 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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