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

Third Street Community Clinic, Inc

Organization Gynecology Physician · NPI 1649599119

Third Street Community Clinic, Inc is a Gynecology Physician in Mansfield, Ohio. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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 44906-2633
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

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Gynecology Physician Taxonomy 207VG0400X

Record details

NPI number1649599119
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 24, 2010
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1404 Park Ave W, Ste 2, Mansfield, OH 44906-2633