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 2131 Park Ave W Ste 200 , Ontario OH 44906-1226. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Third Street Community Clinic Inc can be contacted via phone (419) 525-6730, or through Anderson, Peggy via phone (419) 526-7880.
Contact Information
Primary practice address
2131 Park Ave W Ste 200
Ontario OH 44906-1226
Phone: (419) 525-6730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1700534575 |
|---|---|
| LBN Legal business name | Third Street Community Clinic Inc |
| DBA Doing business as | |
| Authorized official | Anderson, Peggy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2022 |
| Last updated | Mar 11th, 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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