Third Street Ob/Gyn
LBN: Third Street Community Clinic, Inc
Third Street Ob/Gyn is an health care organization with primary practice located at 770 Balgreen Dr Ste 207 , Mansfield OH 44906-4106. The organization recently has 12 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Birthing, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Podiatric, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / Psychiatric Hospital. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Third Street Community Clinic, Inc can be contacted via phone (419) 522-6800, or through Anderson, Peggy via phone (419) 526-7880.
Contact Information
Primary practice address
770 Balgreen Dr Ste 207
Mansfield OH 44906-4106
Phone: (419) 522-6800
Fax: (419) 525-6723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Birthing | 261QB0400X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Podiatric | 261QP1100X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Hospital Units / Psychiatric Unit | 273R00000X | ||
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | ||
| Hospitals / Psychiatric Hospital | 283Q00000X |
Profile Details
| NPI number | 1558576116 |
|---|---|
| LBN Legal business name | Third Street Community Clinic, Inc |
| DBA Doing business as | Third Street Ob/Gyn |
| Authorized official | Anderson, Peggy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Apr 17th, 2024 - about 8 months 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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