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 Drive Suite 207, Mansfield OH 44906-2633. 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) 522-6800, or through Anderson, Peggy via phone (419) 526-7880.

Contact Information

Primary practice address
770 Balgreen Drive Suite 207 Mansfield OH 44906-2633
Phone: (419) 522-6800
Fax: (419) 522-6816
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Peggy
Phone: (419) 526-7880

Health care specialties

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

Profile Details

NPI number 1649599119
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 24th, 2010
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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Identifiers

StateTypeNumberIssuer
All States NPI 1649599119 NPPES
Ohio MEDICAID 3111957

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