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Third Street Community Clinic Inc

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.

physician-icon Basic Information

Practice Location 200 Park Ave W, Mansfield, OH 44902-1608, US
Practice Location Phone419-522-2239
Practice Location Fax419-525-6723
Legal Business NameTHIRD STREET COMMUNITY CLINIC INC
Other Organization NameFIVE POINTS PRIMARY CARE
Other Organization Name TypeDoing Business As Name
NPI ?1972053452
Entity TypeOrganization
Enumeration Date ? Oct 10, 2016
Last Update Date ? Oct 10, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Third Street Community Clinic Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC)

official-icon Authorized Official of Third Street Community Clinic Inc

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/PositionCFO
Authorized Official Phone Number419-522-6191