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Third Street Community Clinic
Gerontology Nurse Practitioner in Ashland, Ohio
NPI 1760864649

Third Street Community Clinic is a Gerontology Nurse Practitioner based in Mansfield, OH and is specialized in Gerontology. Third Street Community Clinic practices in Ashland, OH. The NPI Number for Third Street Community Clinic is 1760864649 and holds a License No. (Ohio).

The current practice location address for Third Street Community Clinic is 309 Arthur St, Ashland, OH and can be reached out via phone at 567-217-7778.

Location: 309 Arthur St, Ashland, OH, 44906-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760864649
Provider Name
Third Street Community Clinic
Credential
Provider Entity Type
Organization
Address
309 Arthur St, Ashland, OH, 44906-2633
Phone Number
567-217-7778
Fax Number
Provider Enumeration Date
06/26/2015
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
309 Arthur St
City
Ashland
State
Ohio
Zip
44805-3206
Phone Number
567-217-7778
Fax Number
person
Provider Business Mailing Address Details
Address
309 Arthur St
City
Ashland
State
Ohio
Zip
44805-3206
Phone Number
567-217-7778
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
COA.17471-NP (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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 3
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 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
()
Definition
Definition to come...
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.
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
()
Definition
Definition to come...
semi-verified symbol
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