THIRD STREET COMMUNITY CLINIC INC (NPI# 1245858950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245858950 |
| Entity Type | Organization |
| Organization Name | THIRD STREET COMMUNITY CLINIC INC |
| Practice Address |
200 Park Ave W Mansfield OH 44902-1608 |
| Mailing Address |
600 W 3rd St Mansfield OH 44906-2633 |
| Practice Telephone | 4195222239 |
| Practice Fax Number | 4195256723 |
| Mailing Telephone | 4195226191 |
| Mailing Fax Number | 4195256723 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | THERESA JEREMY (CREDENTIALING) |
| Authorized Official Telephone | 4195226191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Five Points Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972053452 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2016-10-10 |
| 1588119598 | Third Street Community Clinic Inc | Clinic/Center | 124 N Linden Rd, Mansfield, OH 44906-2616 | 2016-08-19 |
| 1447619788 | Third Street Community Clinic Inc | Clinic/Center | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-02-15 |
| 1700250511 | Third Street Community Clinic Inc | Clinic/Center | 199 W Main St, 2nd Floor, Shelby, OH 44875-1490 | 2015-11-17 |
| 1811364706 | Third Street Community Clinic Inc | Clinic/Center | 31 E Main St, Shelby, OH 44875-1262 | 2015-08-26 |
| Street Address |
200 PARK AVE W |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44902-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386784270 | Joseph Bocka | Emergency Medicine | 200 Park Ave W, Mansfield, OH 44902-1608 | 2007-02-08 |
| 1972053452 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2016-10-10 |
| 1447438650 | Dionysios N Klironomos | Neurological Surgery | 200 Park Ave W, Mansfield, OH 44902-1608 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376069757 | Deborah L Niederhuber | Registered Nurse | 40 W 4th St., Mansfield, OH 44902 | 2017-08-17 |
| 1174978183 | Rebecca A Wagers | Community Health Worker | 28 Park Avenue West, Suite 300, Mansfield, OH 44902 | 2016-04-27 |
| 1053644336 | The Sun Home Health Care At Mansfield, Inc | Home Health | 166 Park Ave W., Suite 205, Mansfield, OH 44902 | 2009-09-17 |
| 1821248899 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 380 N. Main St., Suite L101, Mansfield, OH 44902 | 2008-09-25 |
| 1518134824 | Walter E Glenn Dds Inc | Dentist | 13 Park Ave West Suite 517, Walter E Glenn Dds Inc, Mansfield, OH 44902 | 2008-05-15 |
| 1174708853 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 92 N. Diamond St., Mansfield, OH 44902 | 2007-12-31 |
| 1225195449 | Rod L Staker | Dentist | 61 North Mulberry Street, Mansfield, OH 44902 | 2007-01-03 |
| 1841398328 | Velma F Anderson | Speech-Language Pathologist | 255 Hedges Street, Suite A, Mansfield, OH 44902 | 2006-09-20 |
| 1093746679 | Walter Edward Glenn | Dentist | 13 Park Avenue West, Suite 517, Mansfield, OH 44902 | 2006-07-05 |
| 1023056702 | First Choice Home Health of Ohio Inc | Home Health | 1227 Park Ave West, Mansfield, OH 44902 | 2006-06-03 |
| Find all providers in zip 44902 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340024 | Pressley Pediatrics, LLC | Clinic/Center | 1306 Brittany Ln, Mansfield, TX 76063-4012 | 2020-09-09 |
| 1790309284 | Emerika Mobile Health LLC | Clinic/Center | 28 Park Ave W Ste 701, Mansfield, OH 44902-1640 | 2020-06-01 |
| 1194376863 | Careatc | Clinic/Center | 1770 E Broad St Ste 102, Mansfield, TX 76063-9145 | 2019-09-24 |
| 1881888907 | Clinical Practice Support Services | Clinic/Center | 1811 Highway 287 N Ste 150, Mansfield, TX 76063-7595 | 2007-08-31 |
| 1497373864 | Delanys Healthcare | Clinic/Center | 680 Park Ave W, Mansfield, OH 44906-3706 | 2020-07-11 |
| 1780226092 | Ritenour Medical LLC | Clinic/Center | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2019-10-09 |
| 1073878716 | Nangha Md Pllc | Clinic/Center | 309 Regency Pkwy, Suite 107, Mansfield, TX 76063-5165 | 2012-07-09 |
| 1972864486 | Pannaben H Nangha Md Pllc | Clinic/Center | 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 | 2012-05-31 |
| 1669799458 | Peter T Roemer Md | Clinic/Center | 120 Sturges Ave, Mansfield, OH 44903-2399 | 2010-05-03 |
| 1346419744 | Ontario Children's Health | Clinic/Center | 2003 W 4th St, Mansfield, OH 44906-1787 | 2008-02-29 |
| Find all providers in MANSFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.