Mansfield Family Health
LBN: Third Street Community Clinic, Inc
Mansfield Family Health is an health care organization with primary practice located at 741 Scholl Rd Ste A , Mansfield OH 44907-1571. 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) 525-6737, or through Pollick, Jared via phone (419) 526-7880.
Contact Information
Primary practice address
741 Scholl Rd Ste A
Mansfield OH 44907-1571
Phone: (419) 525-6737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1336411156 |
|---|---|
| LBN Legal business name | Third Street Community Clinic, Inc |
| DBA Doing business as | Mansfield Family Health |
| Authorized official | Pollick, Jared |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2012 |
| Last updated | Oct 26th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336411156 | NPPES |
| Other | 0 | 0 |
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