THIRD STREET COMMUNITY CLINIC INC


Address: 600 W 3rd St, Mansfield, OH 44906-2633
Phone: 4195226191

THIRD STREET COMMUNITY CLINIC INC (NPI# 1447619788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447619788
Entity Type Organization
Organization Name THIRD STREET COMMUNITY CLINIC INC
Other Organization Name THIRD STREET FAMILY HEALTH SERVICES
Practice Address 600 W 3rd St
Mansfield
OH 44906-2633
Practice Telephone 4195226191
Enumeration Date 2016-02-15
Last Update Date 2019-07-10
Authorized Official Name JARED POLLICK (CEO)
Authorized Official Telephone 4195226191
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
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
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
N 261QP1100X Clinic/Center
Specialization: Podiatric
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Third Street Family Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245858950 Third Street Community Clinic Inc Clinic/Center 200 Park Ave W, Mansfield, OH 44902-1608 2020-07-09
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
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

Office Location

Street Address 600 W 3RD ST
City MANSFIELD
State OH
Zip Code 44906-2633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417951781 Michael Jay Raizen Dentist 600 W 3rd St, Mansfield, OH 44906-2633 2005-06-02
1639788417 Robyn Stone Family Medicine 600 W 3rd St, Mansfield, OH 44906-2633 2020-07-28
1134618978 Bryce Steindl Dentist 600 W 3rd St, Mansfield, OH 44906 2018-05-08
1386153971 Amani Alsaery Dentist 600 W 3rd St, Mansfield, OH 44906-2633 2017-09-26
1417489725 Danielle Kreais Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2017-03-28
1215475462 Young Mi Britton Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2017-02-08
1609327378 Kristin Elyse Cooper Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2016-10-18
1144778499 Courtney Brooks Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2016-09-15
1144778754 Emily Bowman Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2016-09-13
1871944108 Jennifer Schroeder Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2016-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1366083297 Jennifer Robin Young Technician 60 Sherman Ave, Mansfield, OH 44906 2019-10-02
1639721905 Lora Harris Nurse Practitioner 1029 S. Trimble Rd, Mansfield, OH 44906 2019-07-16
1871098855 Med Gear Plus, LLC Durable Medical Equipment & Medical Supplies 1041 Park Ave W, Mansfield, OH 44906 2018-03-29
1912401209 Bradley Anderson Dietitian, Registered 1025 South Trimble Rd., Mansfield, OH 44906 2018-03-21
1104325182 Nancy Labaki Speech-Language Pathologist 2011 W. Fourth St., Mansfield, OH 44906 2018-02-06
1720518319 Stephen Anderson Counselor 680 Park Ave W., Mansfield, OH 44906 2017-06-15
1427422518 Jill A Waite Counselor 33 S. Lexington-springmill Road, Mansfield, OH 44906 2015-11-30
1992125397 Taryn Boyd Physical Therapist 1025 S Trimble, Mansfield, OH 44906 2014-04-24
1356760870 Sarah Brandyberry Social Worker 1025 S. Trimble Rd., Mansfield, OH 44906 2014-04-11
Find all providers in zip 44906

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MANSFIELD
Zip Code 44906

Improve Information

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Dataset Information

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.

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