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Third Street Community Clinic Inc
Clinic Pharmacy in Mansfield, Ohio
NPI 1083362834

Third Street Community Clinic Inc is a Clinic Pharmacy based in Mansfield, OH and is specialized in Clinic Pharmacy. Third Street Community Clinic Inc practices in Mansfield, OH. The NPI Number for Third Street Community Clinic Inc is 1083362834 and holds a License No. (Ohio).

The current practice location address for Third Street Community Clinic Inc is 200 Park Ave W, Mansfield, OH and can be reached out via phone at 419-522-2239.

Location: 200 Park Ave W, Mansfield, OH, 44906-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083362834
Provider Name
Third Street Community Clinic Inc
Credential
Provider Entity Type
Organization
Address
200 Park Ave W, Mansfield, OH, 44906-2633
Phone Number
419-522-2239
Fax Number
Provider Enumeration Date
03/11/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 Park Ave W
City
Mansfield
State
Ohio
Zip
44902-1608
Phone Number
419-522-2239
Fax Number
person
Provider Business Mailing Address Details
Address
200 Park Ave W
City
Mansfield
State
Ohio
Zip
44902-1608
Phone Number
419-522-2239
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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