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

Third Street Community Clinic, Inc

Organization Obstetrics & Gynecology Physician · NPI 1558609990

Third Street Community Clinic, Inc is an Obstetrics & Gynecology Physician in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
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
Mansfield, OH 44906-4106
Phone: (419) 522-6800
Fax: (419) 522-6816
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 35096570 (OH)

Record details

NPI number1558609990
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThird Street Community Clinic, Inc
Authorized official Peggy Anderson — Ceo · (419) 522-6191
Other names Third Street Ob/Gyn; Third Street Ob/Gyn
NPI enumeratedJanuary 18, 2013
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address600 W 3rd St, Mansfield, OH 44906-2633

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