Whalio Doctors

NPI 1306523907

Third Street Community Clinic INC

Organisation Primary Care Clinic/Center Bucyrus, OH

Practice location

Address
2458 Stetzer Rd, Bucyrus, OH 44820
Phone
(419) 522-6191
Mailing address
1404 Park Ave W Suite 2, Mansfield, OH 44906

Authorised official

Name
Peggy Anderson
Title
Ceo
Phone
(419) 526-7880

Registered specialties (7)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X
Case Management Agency
Agencies Taxonomy 251B00000X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1306523907
Entity type
Organization
NPI issued
5 Jul 2023
Record last updated
29 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.