Third Street Community Clinic Inc is a health care provider in Mansfield, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||200 Park Ave W, Mansfield, OH 44902-1608, US|
|Practice Location Phone||419-522-2239|
|Practice Location Fax||419-525-6723|
|Legal Business Name||THIRD STREET COMMUNITY CLINIC INC|
|Other Organization Name||FIVE POINTS PRIMARY CARE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Oct 10, 2016|
|Last Update Date ?||Oct 10, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC)|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Third Street Community Clinic Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Jared Pollick|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||419-522-6191|