Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Third Street Community Clinic, Inc

Organization Clinic/Center · NPI 1558576116

Third Street Community Clinic, Inc is a Clinic/Center in Mansfield, Ohio. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

770 Balgreen Dr Ste 207
Mansfield, OH 44906-4106
Phone: (419) 522-6800
Fax: (419) 525-6723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W 3rd St, Mansfield, OH 44906-2633 — (419) 522-6191

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Clinic/Center Taxonomy 261Q00000X
Birthing Clinic/Center Taxonomy 261QB0400X
Dental Clinic/Center Taxonomy 261QD0000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Podiatric Clinic/Center Taxonomy 261QP1100X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Psychiatric Hospital Unit Taxonomy 273R00000X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Psychiatric Hospital Taxonomy 283Q00000X

Record details

NPI number1558576116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Anderson — Ceo · (419) 526-7880
Other names Cornerstone Ob/Gyn; Third Street Ob/Gyn; Third Street Ob/Gyn
NPI enumeratedMay 14, 2007
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address1404 Park Ave W, Ste 2, Mansfield, OH 44906-2633

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