Third Street Community Clinic, Inc. is an authorized DME supplier for medicare equipments and products.
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:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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