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Third Street Community Clinic, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Bucyrus, OH. Organization (NPI-2).

NPI number1629620109
StatusActive
Last updated in NPPESMay 19, 2026

Details

NPI
1629620109
Entity type
Organization (NPI-2)
Legal business name
Third Street Community Clinic, INC.
Organization subpart
No
Enumeration date
Jul 15, 2019
Certification date
May 19, 2026
Last updated
May 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Bucyrus Health And Wellness (Doing Business As)
  • Bucyrus Health And Wellness Center (Doing Business As)

Practice location

2458 Stetzer Rd Ste A
Bucyrus, OH 44820-2066

Phone 419-522-6191 · Fax 419-525-6723

Mailing address

1404 Park Ave W Ste 2
Ontario, OH 44906-2719

Phone 419-522-6191 · Fax 419-525-6723

Authorized official

Peggy Anderson
Ceo
4195267880

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