THIRD STREET COMMUNITY CLINIC INC (NPI# 1588119598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588119598 |
| Entity Type | Organization |
| Organization Name | THIRD STREET COMMUNITY CLINIC INC |
| Other Organization Name | TYGER CARE |
| Practice Address |
124 N Linden Rd Mansfield OH 44906-2616 |
| Mailing Address |
600 W 3rd St Mansfield OH 44906-2633 |
| Practice Telephone | 4195226191 |
| Mailing Telephone | 4195226191 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | JARED POLLICK (CEO) |
| Authorized Official Telephone | 4195226191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tyger Care | Doing Business As Name - Organization |
| 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 |
| 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 |
124 N LINDEN RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790922953 | Mansfield City Schools | Local Education Agency (LEA) | 124 N Linden Rd, Mansfield, OH 44901-1448 | 2009-01-09 |
| 1750793816 | Renee Freund | Speech-Language Pathologist | 124 N Linden Rd, Mansfield, OH 44906-2616 | 2014-05-23 |
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336411156 | Third Street Community Clinic, Inc | Clinic/Center | 741 Scholl Rd Ste A, Mansfield, OH 44907-1571 | 2012-02-09 |
| 1912904004 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 804 N Highway 5, Mansfield, MO 65704-7301 | 2005-07-05 |
| 1306499314 | Third Street Community Clinic, Inc. | Clinic/Center | 205 W Cook Rd, Mansfield, OH 44907-2405 | 2019-07-18 |
| 1972053452 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2016-10-10 |
| 1285942284 | Council for Advancement of Social Service and Education | Clinic/Center | 907 Polk St, Mansfield, LA 71052-2520 | 2010-09-24 |
| 1649599119 | Third Street Community Clinic, Inc. | Clinic/Center | 770 Balgreen Drive, Suite 207, Mansfield, OH 44906-2633 | 2010-05-24 |
| 1548594526 | Third Street Dental Mobile Van | Clinic/Center | 600 W 3rd St, Mansfield, OH 44906-2633 | 2009-09-24 |
| 1750461455 | North Penn Comprehensive Health Services | Clinic/Center | 416 S Main St, Mansfield Laurel Health Center, Mansfield, PA 16933-1510 | 2006-10-17 |
| 1336252519 | Third Street Community Clinic, Inc. | Clinic/Center | 600 W. Third Street, Mansfield, OH 44906-2633 | 2006-08-15 |
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| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
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| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
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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.