Third Street Community Clinic, Inc.
Federally Qualified Health Center (FQHC)
600 W. Third Street, Mansfield
Ohio, 44906-2633
419-522-6191 419-526-7939
Third Street Community Clinic, Inc. is a Federally Qualified Health Center (FQHC) in Mansfield, Ohio. It is located at 600 W. Third Street, Mansfield and it's customer support contact number is 419-522-6191. The authorized person of Third Street Community Clinic, Inc. is Peggy Anderson who is Ceo of the pharmacy and his contact number is 419-526-7880. Third Street Community Clinic, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Third Street Community Clinic, Inc. is definition to come...
Pharmacy Details:
Third Street Community Clinic, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Third Street Community Clinic, Inc. |
| Type: | Federally Qualified Health Center (FQHC) |
| Location: | 600 W. Third Street, Mansfield,
Ohio, 44906-2633 |
| Phone: | 419-522-6191 |
| Fax: | 419-526-7939 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Peggy Anderson |
| Position: | Ceo |
| Contact Number: | 419-526-7880 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1336252519 |
| NPI Enumeration Date: | 15 Aug, 2006 |
| NPI Last Update On: | 29 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Third Street Community Clinic, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Clinic Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2069452 | Medicaid | Ohio | |
Medicare Enrollment:
Third Street Community Clinic, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2365423977 | O20071009000076 | Third Street Community Clinic, Inc | PART B SUPPLIER - PUBLIC HEALTH/WELFARE AGENCY |
| 2365423977 | O20080307000494 | Third Street Community Clinic, Inc | PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1404 Park Ave W, Ste 2
Mansfield, Ohio |
| Zip: | 44906-2633 |
| Phone Number: | 419-522-6191 |
| Fax Number: | 419-526-7939 |
Patients can reach Third Street Community Clinic, Inc. at
600 W. Third Street, Mansfield, Ohio or can
call on customer care at 419-522-6191.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.